Doctor Name: | MRS. ANGELIA MARIE ENEIX |
NPI Number: | 1780880658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22003537A |
Business Practice Address: | 10938 Fairwoods Dr Fishers, IN - 460378805 |
Business Phone Number: | 3175955925 |
Business Fax Number: | 3177769016 |
Mailing Address: | 10938 Fairwoods Dr, FISHERS |
State: | IN |
Postal Code: | 460378805 |
Phone Number: | 3179413349 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003537A |
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 |