Healthcare Provider Details

I. General information

NPI: 1215632997
Provider Name (Legal Business Name): ALLICIA NICOLE ENGELKING SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 NAAB RD STE 300
INDIANAPOLIS IN
46260-1933
US

IV. Provider business mailing address

812 TEMPLETON DR
CARMEL IN
46032-3349
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-5500
  • Fax:
Mailing address:
  • Phone: 317-498-1576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: