Individual
PRANGCHAT FAKTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 HAMBURG PIKE, JEFFERSONVILLE, IN 47130-6301
(812) 577-8542
Mailing address
10 S 9TH ST STE 4, NOBLESVILLE, IN 46060-2631
(317) 204-3736
(317) 324-3965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22008398A
IN
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
09/11/2025
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