Individual
MRS. HEIDI RINGGENBERG CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, CCC-SLP
Contact information
Practice address
11688 LAKE FOREST PKWY, CARMEL, IN 46033-7208
(317) 818-8166
Mailing address
11688 LAKE FOREST PKWY, CARMEL, IN 46033-7208
(317) 818-8166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002150A
IN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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