Healthcare Provider Details

I. General information

NPI: 1871417543
Provider Name (Legal Business Name): ANTONYA PRIOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 MAIN ST
BATTLE GROUND IN
47920-9757
US

IV. Provider business mailing address

4521 JOSHUA CT
WEST LAFAYETTE IN
47906-8670
US

V. Phone/Fax

Practice location:
  • Phone: 765-567-2200
  • Fax:
Mailing address:
  • Phone: 765-607-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number290023333A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: