Healthcare Provider Details

I. General information

NPI: 1770747669
Provider Name (Legal Business Name): CHRISTINE ANN OSER MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 S STATE ROAD 135 STE 110
GREENWOOD IN
46143-9607
US

IV. Provider business mailing address

1362 SUMMER MEADOW CT
INDIANAPOLIS IN
46217-7491
US

V. Phone/Fax

Practice location:
  • Phone: 317-535-4075
  • Fax: 317-535-4076
Mailing address:
  • Phone: 317-966-2682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22004917A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: