Individual
MRS. AMY FRAZER GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8920 TYNAN WAY, FISHERS, IN 46038-3031
(765) 427-6938
Mailing address
8920 TYNAN WAY, FISHERS, IN 46038-3031
(765) 427-6938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005419A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064263
—
IN
Enumeration date
09/15/2014
Last updated
09/21/2022
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