Cole, Mandilyn Marie
Cole, Mandilyn Marie is an individual health care provider with primary practice located at 4850 Whippoorwill Dr , Lafayette IN 47909. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cole, Mandilyn Marie can be contacted via phone (765) 714-5004.Contact Information
Primary practice address
4850 Whippoorwill Dr
Lafayette IN 47909
Phone: (765) 714-5004
Fax: (765) 538-2205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22003885A | Indiana |
Profile Details
| NPI number | 1700969359 |
|---|---|
| LBN Legal business name | Cole, Mandilyn Marie |
| Credentials | MS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700969359 | NPPES |
| Indiana | MEDICAID | 2004138 |
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