Provider Demographics
NPI:1003041435
Name:DROESE, ANNE P (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:P
Last Name:DROESE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 SHADOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-2713
Mailing Address - Country:US
Mailing Address - Phone:317-504-0994
Mailing Address - Fax:
Practice Address - Street 1:6923 HILLSDALE CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2054
Practice Address - Country:US
Practice Address - Phone:317-472-6150
Practice Address - Fax:317-644-8050
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004656A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist