Individual
MIRANDA ANNE MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 W EDGEWOOD AVE, INDIANAPOLIS, IN 46217-9291
(317) 561-1888
Mailing address
6239 S EAST ST STE A, INDIANAPOLIS, IN 46227-2088
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
46004756A
IN
Other
Enumeration date
07/01/2020
Last updated
08/12/2025
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