Individual
MS. DEBBIE FORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6512 GREYRIDGE BLVD, INDIANAPOLIS, IN 46237-3162
(317) 782-4346
(317) 782-4347
Mailing address
PO BOX 1369, GREENWOOD, IN 46142-6269
(317) 782-4346
(317) 782-4347
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121240A
—
IN
Enumeration date
06/13/2008
Last updated
06/13/2008
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