Individual
MIRIAM BOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1701 LIBRARY BLVD, SUITE A, GREENWOOD, IN 46142-1567
(317) 881-9923
Mailing address
1324 DAKOTA RIDGE LN, APT E, INDIANAPOLIS, IN 46217-2822
(812) 230-1494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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