Individual
MRS. MANDILYN MARIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4850 WHIPPOORWILL DR, LAFAYETTE, IN 47909
(765) 714-5004
(765) 538-2205
Mailing address
4850 WHIPPOORWILL DR, LAFAYETTE, IN 47909
(765) 538-2205
(765) 538-2205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003885A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004138
—
IN
Enumeration date
10/24/2006
Last updated
07/08/2007
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