NPI 1346628492

Pediatric Specialty Associates, INC

Organisation Early Intervention Provider Agency Indianapolis, IN

Practice location

Address: 6437 Rucker Rd Suite D, Indianapolis, IN 46220-4885
Phone: (317) 405-9016

Authorised official

Name: Donna Holtz
Title: Owner
Phone: (317) 405-9016

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 22005410A (IN)

Other Early Intervention Provider Agency providers in Indiana →

Registry record

NPI: 1346628492
Entity type: Organization
NPI issued: 9 May 2015
Record last updated: 9 May 2015

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.