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Individual

JANITA PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC/SLP

Contact information

Practice address
431 W PONTIAC ST, FORT WAYNE, IN 46807-1451
(260) 312-2931
Mailing address
431 W PONTIAC ST, FORT WAYNE, IN 46807-1451
(260) 312-2931

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002281A
IN

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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