Individual
MRS. KATIE LYN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
845 PARK PLACE, NEW ALBANY, IN 47150
(812) 945-4063
Mailing address
1933 EAST ELM STREET, NEW ALBANY, IN 47150
(812) 734-6872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007020A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YZD163W03656
ANTHEM BLUE CROSS
IN
Enumeration date
09/02/2018
Last updated
09/01/2020
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