NPI 1033387824

The Provider Network, LLC

Organisation Early Intervention Provider Agency Carmel, IN

Practice location

Address: 11688 Lake Forest Pkwy, Carmel, IN 46033-7208
Phone: (317) 507-4280

Authorised official

Name: Stewart Clark
Title: President
Phone: (317) 507-4280

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Indiana →

Registry record

NPI: 1033387824
Entity type: Organization
NPI issued: 14 Feb 2008
Record last updated: 14 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.