| |
616 E 13th St, Winamac, IN 46996-1117 | |
(574) 946-2100 | |
(574) 946-2129 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 616 E 13th St, Winamac, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578753653 | NPI | - | NPPES |
200714230A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22000181 (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
616 E 13th St, Po Box 279, Winamac, IN 46996-1117 Ph: (574) 946-2100 | 616 E 13th St, Winamac, IN 46996-1117 Ph: (574) 946-2100 |
Mrs. Rebecca Sue Dilts, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 616 E 13th St, Winamac, IN 46996 Phone: 574-946-2150 Fax: 574-946-2110 |