Individual
BRENDA TESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1274 CENTER CREEK DR, CROWN POINT, IN 46307-8285
(219) 928-3311
Mailing address
1274 CENTER CREEK DR, CROWN POINT, IN 46307-8285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003707A
IN
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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