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Individual

VIRGINIA PELLISSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
6437 RUCKER RD STE D, INDIANAPOLIS, IN 46220-4868
(317) 405-9016
(888) 654-4116
Mailing address
13026 FAWNSBROOK DR, FISHERS, IN 46038-1036

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004175A
IN

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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