Individual
MRS. JACQUELINE PATRICIA MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
637 S STATE ROAD 135, SUITE C, GREENWOOD, IN 46142-1443
(317) 865-1110
(317) 865-0221
Mailing address
1092 MISSION HILLS DR APT F, GREENWOOD, IN 46143-2216
(260) 760-8310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004529A
IN
Other
Enumeration date
02/22/2007
Last updated
08/22/2007
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