Individual
CHRISTINA ANN IWACHIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
221 US HIGHWAY 41, STE G, SCHERERVILLE, IN 46375-1277
(219) 322-2037
(219) 322-9787
Mailing address
8220 CRESTWOOD AVE, MUNSTER, IN 46321-1412
(219) 972-0424
(219) 322-9787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002979
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200643380
FIRST STEPS PROVIDER
IN
Enumeration date
04/26/2007
Last updated
07/08/2007
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