Provider Demographics
NPI:1376627653
Name:SWEET, ANN H (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:H
Last Name:SWEET
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11510 RALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3446
Mailing Address - Country:US
Mailing Address - Phone:317-846-4425
Mailing Address - Fax:
Practice Address - Street 1:11510 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3446
Practice Address - Country:US
Practice Address - Phone:317-846-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003765A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist