Individual
JESSICA SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004849A
IN
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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