Doctor Name: | SARA PATRICE YODER |
NPI Number: | 1326195512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 22003629A |
Business Practice Address: | 702 Barnhill Dr Indianapolis, IN - 462025128 |
Business Phone Number: | 3172746678 |
Business Fax Number: | 3172746680 |
Mailing Address: | 702 Barnhill Dr, INDIANAPOLIS |
State: | IN |
Postal Code: | 462025128 |
Phone Number: | 3172746678 |
Fax Number: | 3172746680 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003629A |
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 |