Jasmyn Anzola
Speech-Language Pathologist, in Bloomington, IN. Individual provider (NPI-1).
NPI number1104738533
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1104738533
- Entity type
- Individual (NPI-1)
- Name
- Jasmyn Anzola
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2026
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 46005004A | IN | Yes |
Practice location
451 S Landmark AveBloomington, IN 47403-5004
Phone 930-333-2612
Mailing address
451 S Landmark AveBloomington, IN 47403-5004
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All 86 Speech-Language Pathologist providers in Bloomington · All 4,023 providers in Bloomington
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