Individual
CRYSTAL ROSE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1200 E 42ND ST, INDIANAPOLIS, IN 46205-2004
(317) 941-4637
(317) 920-6350
Mailing address
1200 E 42ND ST, INDIANAPOLIS, IN 46205-2004
(317) 941-4637
(317) 920-6350
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002486A
IN
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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