Individual
KASSIDY R SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CF-SLP
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
9028 WOODMOSS LN APT 3B, INDIANAPOLIS, IN 46250-1039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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