| Organization Name: | INDIANA UNIVERSITY |
| NPI Number: | 1982693743 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCIA A HUMPHRESS (FISCAL OFFICER) |
| Mailing Address: | 200 S Jordan Ave Bloomington |
| State: | IN US |
| Postal Code: | 474057002 |
| Phone Number: | 8128554156 |
| Fax Number: | 8128555531 |
| NPI Enumeration Date: | 10/14/2005 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |