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Individual

EMMA BLYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
231 E 62ND ST, INDIANAPOLIS, IN 46220-1817
(574) 286-3947
Mailing address
231 E 62ND ST, INDIANAPOLIS, IN 46220-1817

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008017A
IN

Other

Enumeration date
06/10/2024
Last updated
06/10/2024
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