Individual
MANDY M MCAFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
808 MILL LAKE RD, FORT WAYNE, IN 46845-6400
(260) 338-1241
(260) 338-1231
Mailing address
12647 FELDSPAR RD, INDIANAPOLIS, IN 46236-9366
(260) 338-1241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200683480
—
IN
Enumeration date
05/10/2007
Last updated
07/09/2015
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