Healthcare Provider Details

I. General information

NPI: 1629861836
Provider Name (Legal Business Name): CAMERON EADS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

6330 E 75TH ST STE 206
INDIANAPOLIS IN
46250-2700
US

IV. Provider business mailing address

150 E ASH ST
ZIONSVILLE IN
46077-1404
US

V. Phone/Fax

Practice location:
  • Phone: 317-284-1166
  • Fax:
Mailing address:
  • Phone: 317-809-2306
  • 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: