Individual
JACQUELINE HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 SPANN AVE, INDIANAPOLIS, IN 46203-1375
(317) 226-4239
Mailing address
1733 SPANN AVE, INDIANAPOLIS, IN 46203-1375
(317) 226-4239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14323766
IN
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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