Healthcare Provider Details

I. General information

NPI: 1285356154
Provider Name (Legal Business Name): ALISON RYBICKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 W EDGEWOOD AVE
INDIANAPOLIS IN
46217-9291
US

IV. Provider business mailing address

1502 W EDGEWOOD AVE
INDIANAPOLIS IN
46217-9291
US

V. Phone/Fax

Practice location:
  • Phone: 317-791-9031
  • Fax: 317-791-9001
Mailing address:
  • Phone: 317-791-9031
  • Fax: 317-791-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22009557A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: