Individual
JUDITH L INTAGLIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Mailing address
52 HARRISON BLVD, VALPARAISO, IN 46383-3408
(219) 548-3242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004089A
IN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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