Individual
COLLEEN BAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7393 BUSINESS CENTER DR, AVON, IN 46123
(317) 910-3185
Mailing address
7393 BUSINESS CENTER DR STE 100, AVON, IN 46123-9289
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004488A
IN
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
OUT PATIENT
—
Enumeration date
08/20/2019
Last updated
08/20/2019
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