Healthcare Provider Details

I. General information

NPI: 1528188489
Provider Name (Legal Business Name): HALL-RATLIFF CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4005 W BROOK DR
MUNCIE IN
47304-2974
US

IV. Provider business mailing address

PO BOX 494
MUNCIE IN
47308-0494
US

V. Phone/Fax

Practice location:
  • Phone: 765-749-3476
  • Fax: 765-287-1363
Mailing address:
  • Phone: 765-749-3476
  • Fax: 765-287-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22001409A
License Number StateIN

VIII. Authorized Official

Name: JANET RATLIFF
Title or Position: PRESIDENT
Credential:
Phone: 765-749-3476