Lucera Speech & Rehab, LLC
Speech-Language Pathologist, in Bloomington, IN. Organization (NPI-2).
NPI number1831992809
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1831992809
- Entity type
- Organization (NPI-2)
- Legal business name
- Lucera Speech & Rehab, LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2025
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
4186 W Boheny DrBloomington, IN 47404-8405
Phone 812-287-9058
Mailing address
4186 W Boheny DrBloomington, IN 47404-8405
Phone 812-287-9058
Other practice locations
1300 N Loesch Rd
Bloomington, IN 47404-9108
Bloomington, IN 47404-9108
Phone 812-287-9058
Authorized official
Sarah Jane Harding
Speech Language Pathologist, Owner
8122879058
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