Individual
ELEANOR BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Mailing address
3428 S OAKLAWN CIR, BLOOMINGTON, IN 47401-8561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002982A
IN
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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