Individual
KASEY HERCHENROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
14926 COPPER TREE WAY, CARMEL, IN 46033-8972
(765) 438-8994
Mailing address
14926 COPPER TREE WAY, CARMEL, IN 46033-8972
(765) 438-8994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12254
NC
235Z00000X
Speech-Language Pathologist
Primary
22005315A
IN
235Z00000X
Speech-Language Pathologist
SA15025
FL
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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