Midwest Myofunctional And Speech Therapy, LLC
Clinic/Center, Hearing and Speech in Fort Wayne, IN. Organization (NPI-2).
NPI number1164080974
StatusActive
Last updated in NPPESJun 5, 2019
Details
- NPI
- 1164080974
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Myofunctional And Speech Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2019
- Last updated
- Jun 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | Yes |
Practice location
7221 Engle Rd Ste 225Fort Wayne, IN 46804-2229
Phone 260-438-1430
Mailing address
10909 W Sycamore Hills DrFort Wayne, IN 46814-9335
Phone 260-438-1430
Authorized official
Julie A Carrico
Speech-Language Pathologist
2604381430
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All 9 Hearing and Speech Clinic/Center providers in Fort Wayne · All 11,302 providers in Fort Wayne
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