Provider First Line Business Practice Location Address:
DEPT. SPEECH PATHOLOGY & AUDIOLOGY, BALL STATE UNI
Provider Second Line Business Practice Location Address:
ART AND COMMUNICATIONS BLDG, 104
Provider Business Practice Location Address City Name:
MUNCIE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47306-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-285-2611
Provider Business Practice Location Address Fax Number:
765-285-5623
Provider Enumeration Date:
01/17/2006