Healthcare Provider Details

I. General information

NPI: 1659696524
Provider Name (Legal Business Name): ANITA LOUISE PARYL M.A.,CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10294 E 96TH ST
FISHERS IN
46037-9497
US

IV. Provider business mailing address

10294 E 96TH ST
FISHERS IN
46037-9497
US

V. Phone/Fax

Practice location:
  • Phone: 317-288-7572
  • Fax: 317-284-1765
Mailing address:
  • Phone: 317-288-7572
  • Fax: 317-284-1765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22008661A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: