Individual
MRS. GALE LYNN SEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
14689 E 256TH ST, ARCADIA, IN 46030-9401
(317) 691-2619
Mailing address
14689 E 256TH ST, ARCADIA, IN 46030-9401
(317) 691-2619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001808
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127020A
—
IN
01
—
200030300A
MEDICAID WAIVER
IN
Enumeration date
05/28/2008
Last updated
05/28/2008
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