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NPI Code Detail

MEDICARE: PATRICIA ANN COUCH

MEDICARE: PATRICIA ANN COUCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist22001276AIN

General Provider Information

NPI Number : 1750506523
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN COUCH
Provider Business Mailing Address
First Line : 502 E ELM ST
Second Line :
City : GASTON
State : IN
Zip : 47342-9220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 114 E STREETER AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-1909
Country : US
Telephone Number : 765-284-4166
Fax Number : 765-287-9547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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Directions to “ PATRICIA ANN COUCH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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