Provider Demographics
NPI:1043462583
Name:MARY L. ZEHR
Entity Type:Organization
Organization Name:MARY L. ZEHR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZEHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-631-1617
Mailing Address - Street 1:1150 W ANN LN
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-8723
Mailing Address - Country:US
Mailing Address - Phone:812-631-1617
Mailing Address - Fax:812-634-1450
Practice Address - Street 1:1150 W ANN LN
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-8723
Practice Address - Country:US
Practice Address - Phone:812-631-1617
Practice Address - Fax:812-634-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty