Organization
PROFESSIONAL SPEECH-LANGUAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANNE TUSSEY MA (PRESIDENT)
(812) 219-9824
Entity
Organization
Contact information
Practice address
3626 S EDDINGTON DR, BLOOMINGTON, IN 47401-8740
(812) 219-9824
Mailing address
3626 S EDDINGTON DR, BLOOMINGTON, IN 47401-8740
(812) 219-9824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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