Individual
BROOKE NOELLE HACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4708 CHERRY LN, INDIANAPOLIS, IN 46228-2924
(317) 388-1193
Mailing address
4708 CHERRY LN, INDIANAPOLIS, IN 46228-2924
(317) 388-1193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005577A
IN
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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