Individual
MISS KRISTA ANN BLOSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6337 MAPLE DR, INDIANAPOLIS, IN 46220-2118
(317) 514-9478
Mailing address
6337 MAPLE DR, INDIANAPOLIS, IN 46220-2118
(317) 514-9478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004722A
IN
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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