Healthcare Provider Details

I. General information

NPI: 1952960221
Provider Name (Legal Business Name): BOBBIE ZHENG MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 NAAB RD STE 100
INDIANAPOLIS IN
46260-2086
US

IV. Provider business mailing address

8550 NAAB RD STE 100
INDIANAPOLIS IN
46260-2086
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-3364
  • Fax:
Mailing address:
  • Phone: 317-338-3364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22007962A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: