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NPI Code Detail

MEDICARE: COURTNEY DUBAY HODGE M.S., SLP

MEDICARE: COURTNEY DUBAY HODGE M.S., SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1154962454
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY DUBAY HODGE M.S., SLP
Provider Business Mailing Address
First Line : 8702 FOUNDERS RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8702 FOUNDERS RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1337
Country : US
Telephone Number : 317-900-1030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 11/01/2023

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