Individual
ALICIA PE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 N ROYAL CENTER PIKE, LOGANSPORT, IN 46947-8671
(574) 398-1410
Mailing address
2635 N ROYAL CENTER PIKE, LOGANSPORT, IN 46947-8671
(574) 398-1410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004914A
IN
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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