Individual
EMMA STOCKRAHM BERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 CHAPA ST, COLUMBUS, IN 47203-4638
(812) 373-0787
Mailing address
954 DOVER DR APT 1518, GREENWOOD, IN 46142-1630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004302A
IN
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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