Individual
MRS. LISA REINHOLT BUSALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
7440 N SHADELAND AVE, STE. 150, INDIANAPOLIS, IN 46250-2029
(317) 842-4901
Mailing address
7440 N SHADELAND AVE, STE. 150, INDIANAPOLIS, IN 46250-2029
(317) 842-4901
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001885
IN
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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