Doctor Name: | MS. GRETCHEN ANN COZZOLINO |
NPI Number: | 1043504038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 22003463A |
Business Practice Address: | 7424 Shadeland Station Way Indianapolis, IN - 462563925 |
Business Phone Number: | 3172887606 |
Business Fax Number: | |
Mailing Address: | 9839 Barth Dr, ZIONSVILLE |
State: | IN |
Postal Code: | 460779271 |
Phone Number: | 3176911435 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003463A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |