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Tara Phelps, M.A.,CCC-SLP
NPI 1043563505 · on the registry since 2012
Practice
- Address
- 3110 E Coliseum Blvd
Fort Wayne, IN 46805 - Phone
- (260) 408-6732
- Fax
- (317) 449-5783
- Organisation at this address
- Summit Bhc Ft Wayne Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana