Individual
JILLIAN QUILLEN RENSCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7440 HAGUE RD, INDIANAPOLIS, IN 46256-1930
(317) 762-8449
Mailing address
5231 HICKORY RD, INDIANAPOLIS, IN 46239-1834
(765) 914-7384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006951A
IN
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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