Individual
MRS. NINA BETH ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4729 BROADWAY ST, INDIANAPOLIS, IN 46205-1853
(317) 730-4326
Mailing address
4729 BROADWAY ST, INDIANAPOLIS, IN 46205-1853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004842A
IN
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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