Organization
COMMUNICATION & LEARNING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J GERARD (OWNER)
(260) 482-2239
Entity
Organization
Contact information
Practice address
6039 STONEY CREEK DR, FORT WAYNE, IN 46825-4410
(260) 482-2239
(877) 459-3403
Mailing address
6039 STONEY CREEK DR, FORT WAYNE, IN 46825-4410
(260) 482-2239
(877) 459-3403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200725260
FIRST STEPS PROVIDER
IN
Enumeration date
05/16/2007
Last updated
07/21/2009
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