Most Relevant Information
Provider Data
| NPI Number: | 1003023953 |
| Provider Name: | RACHELLE LYN FERGUSON M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 46001588A |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
8616 W 10TH ST
INDIANAPOLIS
IN
462342167
Practice Location Phone/Fax
| Phone: | 3172092332 |
| Fax: |
Provider Mailing Location
8607 ROBIN RUN WAY
AVON
IN
461231218
Provider Mailing Phone/Fax
| Phone: | 3172036278 |
| Fax: |