Individual
ELIZABETH NICOLE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5401 VOGEL RD STE 140, EVANSVILLE, IN 47715-7831
(812) 477-5000
(812) 477-5002
Mailing address
5401 VOGEL RD STE 140, EVANSVILLE, IN 47715-7831
(812) 477-5000
(812) 477-5002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006657A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006657A
INDIANA SPEECH LANGUAGE PATHOLOGY LICENSE
IN
Enumeration date
02/08/2018
Last updated
02/08/2018
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