Individual provider · NPI-1

Lara Gatliff, MS, CCC-SLP/L

Speech-Language Pathologist, · Merrillville, IN

NPI number1699111880
StatusActive
Last updated in NPPESAug 17, 2019

Details

NPI
1699111880
Entity type
Individual (NPI-1)
Name
Lara Gatliff
Credential
MS, CCC-SLP/L
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2013
Last updated
Aug 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,22005356AINYes

Other names

  • Lara Poracky (Former Name)

Practice location

8380 Virginia St
Merrillville, IN 46410-6231

Phone 219-769-9009

Mailing address

2646 41st St
Highland, IN 46322-2705

Phone 219-334-6171

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