Individual
ERIN MARIE RUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
(574) 276-0331
Mailing address
3374 PAISLEY POINTE, WHITESTOWN, IN 46075-9781
(574) 276-0331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006895A
BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
IN
Enumeration date
05/27/2020
Last updated
05/28/2020
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