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NPI Code Detail

MEDICARE: SHARNA LYNN BAUMGART M.ED., CCC-SLP

MEDICARE: SHARNA LYNN BAUMGART M.ED., CCC-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 Pathologist22003595AIN

General Provider Information

NPI Number : 1770908733
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARNA LYNN BAUMGART M.ED., CCC-SLP
Provider Business Mailing Address
First Line : 3500 DEPAUW BOULEVARD, SUITE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 3771 SOUTH A STREET
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6053
Country : US
Telephone Number : 765-598-4197
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2014
Last Update Date : 11/21/2018

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Directions to “ SHARNA LYNN BAUMGART M.ED., CCC-SLP” Practice Location

Language Start Address Practice Location
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