Individual
JESSICA MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-4202
Mailing address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002652A
IN
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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