MEDICARE: SPEAKINDY

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
1	235Z00000X	Speech-Language Pathologist	14088609	IN

General Provider Information

NPI Number	:	1326585084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEAKINDY

Provider Business Mailing Address
First Line	:	450 E 96TH ST
Second Line	:	SUITE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-5703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 E 96TH ST
Second Line	:	SUITE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-5703
Country	:	US
Telephone Number	:	765-524-9845
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELBY NATION
Credential	:
Telephone Number	:	765-524-9845

Provider Enumeration Date	:	01/19/2017
Last Update Date	:	01/19/2017

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Directions to “SPEAKINDY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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