Individual
MR. JAMES TODD WITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
10585 N MERIDIAN ST STE 201, INDIANAPOLIS, IN 46290-1067
(317) 815-0778
Mailing address
20268 LITTLE CREEK DR, NOBLESVILLE, IN 46062-7937
(317) 877-7017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002890A
IN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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