NPI 1003068453

Daniel Fogerty, SLP

Practitioner Speech-Language Pathologist Bloomington, IN

Practice location

Address: 725 N Bell Trace Cir, Bloomington, IN 47408-4408
Phone: (812) 323-2858
Mailing address: 118 Medical Dr, Carmel, IN 46032-2923

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 22004493A (IN)

Other Speech-Language Pathologist providers in Indiana →

Registry record

NPI: 1003068453
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2008
Record last updated: 16 Oct 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.