Individual
KATHRYN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14293 EXCALIBUR WAY, FISHERS, IN 46037-7263
(317) 695-6404
Mailing address
14293 EXCALIBUR WAY, FISHERS, IN 46037-7263
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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