Individual
AMY WICKIZER PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-6251
Mailing address
5455 E EARL YOUNG RD, BLOOMINGTON, IN 47408-9521
(812) 339-8939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003665A
IN
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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