Organization
MICHIANA SPEECH LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALISA LAYMAN (MEMBER)
(574) 323-3785
Entity
Organization
Contact information
Practice address
227 S MAIN ST STE 100, SOUTH BEND, IN 46601-2124
(574) 323-3785
(574) 544-5977
Mailing address
227 S MAIN ST STE 100, SOUTH BEND, IN 46601-2124
(574) 544-5977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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