Individual
KRISTIN DANIELLE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1800 N WABASH RD STE 203, MARION, IN 46952-1300
(765) 651-3229
Mailing address
PO BOX 257, SWEETSER, IN 46987-0257
(765) 618-2023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005201A
IN
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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