NPI 1104058551

Christina B. Faulkner, MACCCSLP

Practitioner Speech-Language Pathologist South Bend, IN

Practice location

Address: 2012 Ironwood Cir, South Bend, IN 46635-1888
Phone: (574) 273-2743
Mailing address: 3212 Dody Ave #4, Michigan City, IN 46360-7240

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 22003664A (IN)

Other Speech-Language Pathologist providers in Indiana →

Registry record

NPI: 1104058551
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2009
Record last updated: 19 Aug 2009

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.