Organization
BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA ROSE DOWLING MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(646) 298-5246
Entity
Organization
Contact information
Practice address
1441 S FENBROOK LN, SUITE 400D, BLOOMINGTON, IN 47401-4176
(646) 298-5246
Mailing address
1441 S FENBROOK LN, SUITE 400D, BLOOMINGTON, IN 47401-4176
(646) 298-5246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005155A
IN
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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