Organization
DREYER ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA DREYER CCC-SLP (PRESIDENT)
(765) 246-4088
Entity
Organization
Contact information
Practice address
89 50 NORTH ST, FILLMORE, IN 46128-9205
(765) 246-4088
(765) 246-4088
Mailing address
89 50 NORTH ST, FILLMORE, IN 46128-9205
(765) 246-4088
(765) 246-4088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002854A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22002854A
SPEECH PATHOLOGIST LICENS
IN
Enumeration date
07/07/2006
Last updated
08/22/2020
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