Individual
MR. MARK CHARLES MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
4273 BLACKWOOD CT, GREENWOOD, IN 46143-7908
(317) 777-2655
Mailing address
4273 BLACKWOOD CT, GREENWOOD, IN 46143-7908
(317) 777-2655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004482A
IN
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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