Provider Demographics
NPI:1255481982
Name:BILODEAU, ANN ELAINE (MS CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:ELAINE
Last Name:BILODEAU
Suffix:
Gender:F
Credentials:MS CCCSLP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:ELAINE
Other - Last Name:BURFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCCSLP
Mailing Address - Street 1:7639 TIMBER HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:INDIANPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217
Mailing Address - Country:US
Mailing Address - Phone:317-627-3347
Mailing Address - Fax:
Practice Address - Street 1:7639 TIMBER HILL NORTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-4401
Practice Address - Country:US
Practice Address - Phone:317-627-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22001595A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist