Most Relevant Information
Provider Data
NPI Number: | 1003020959 |
Provider Name: | MICHELLE A LUDLOW SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 22003960A |
Most Important Dates
Enumeration Date: | 05/10/2007 |
Last Updated: | 07/09/2007 |
Provider Practice Location
808 MILL LAKE RD
FORT WAYNE
IN
468456400
Practice Location Phone/Fax
Phone: | 2603381241 |
Fax: | 2603381231 |
Provider Mailing Location
717 BEECH DR
GAS CITY
IN
469331242
Provider Mailing Phone/Fax
Phone: | 2603381241 |
Fax: |