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General NPI Number Information
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NPI Number | 1528808797
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Entity Type | Organization
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Legal Business Name | CHILDREN'S THERAPY HOUSE, LLC
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 600 E CARMEL DR STE 103
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City | CARMEL
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State | IN
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Zip | 46032-2805
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Country | US
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Telephone | 317-207-1246
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Fax |
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Provider Business Mailing Address
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Address Line | 13016 ANDOVER CT
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City | CARMEL
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State | IN
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Zip | 46033-2410
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Country | US
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Telephone | 317-258-6284
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MS. ANDREA BALAN-VOGT
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Credential | CCC-SLP
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Telephone | 317-258-6284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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