Individual
JOSIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
15261 N MOUZIN RD, OAKTOWN, IN 47561-8301
(812) 830-8764
Mailing address
15261 N MOUZIN RD, OAKTOWN, IN 47561-8301
(812) 830-8764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006798A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006798A
LICENSE NUMBER
IN
Enumeration date
08/22/2018
Last updated
08/22/2018
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