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Dara Sides

Speech-Language Pathologist, in Bloomington, IN. Individual provider (NPI-1).

NPI number1013709237
StatusActive
Last updated in NPPESMay 22, 2025

Details

NPI
1013709237
Entity type
Individual (NPI-1)
Name
Dara Sides
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2025
Certification date
May 22, 2025
Last updated
May 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1531 W Leighton Ln
Bloomington, IN 47403-8949

Phone 812-219-2508

Mailing address

1531 W Leighton Ln
Bloomington, IN 47403-8949

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