Individual
MS. VICKI CAROL MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
105 CANTERBURY RD, PENDLETON, IN 46064-8719
(765) 620-2068
(765) 778-7781
Mailing address
105 CANTERBURY RD, PENDLETON, IN 46064-8719
(765) 620-2068
(765) 778-7781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003545A
IN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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