Individual
MRS. TOLANDA SOMERVILLE-PHILPOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
8690 BROADWAY STE A, MERRILLVILLE, IN 46410-7034
(219) 750-9600
(219) 370-0096
Mailing address
8690 BROADWAY STE A, MERRILLVILLE, IN 46410-7034
(219) 750-9600
(219) 370-0096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200462650
—
IN
01
—
200679910
MEDICAID/FIRST STEPS
IN
Enumeration date
02/22/2008
Last updated
08/03/2023
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