Organization Name: | BLUE RIVER SERVICES, INC. |
NPI Number: | 1205130267 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J. LOWE (PRESIDENT/CEO) |
Mailing Address: | 1365 N Old Highway 135 Corydon |
State: | IN US |
Postal Code: | 471122007 |
Phone Number: | 8127382408 |
Fax Number: | 8127386281 |
NPI Enumeration Date: | 01/06/2011 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |