Nutley, Mandy H
Nutley, Mandy H is an individual health care provider with primary practice located at 440 Edmond Dr , Dyer IN 46311-1523. 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. Nutley, Mandy H can be contacted via phone (219) 322-1415.Contact Information
Primary practice address
440 Edmond Dr
Dyer IN 46311-1523
Phone: (219) 322-1415
Fax: (219) 322-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22001692A | Indiana |
Profile Details
| NPI number | 1841227964 |
|---|---|
| LBN Legal business name | Nutley, Mandy H |
| Credentials | MHS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Sep 2nd, 2008 - about 18 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 | 1841227964 | NPPES |
| Indiana | MEDICAID | 200645490 | |
| Indiana | MEDICAID | 200716000A |
Popular Providers
-
Puch, Cathy J
1501 Joliet Street Unit B2, Dyer IN 46311 -
Bocken, Christina
440 Edmond Dr , Dyer IN 46311-1523 -
Killeen, Stacey Lynn
219 Primrose Dr , Dyer IN 46311-4632 -
Fairris, Kelly Ann
440 Edmond Dr , Dyer IN 46311-1523 -
Stelmach, Rachel Lauryn
440 Edmond Dr , Dyer IN 46311-1523 -
Lieske, Rachel Victoria
440 Edmond Dr , Dyer IN 46311-1523 -
Hough, Ashley
440 Edmond Dr , Dyer IN 46311-1523 -
Renzi, Crystal
440 Edmond Dr , Dyer IN 46311-1523