Provider Demographics
NPI:1437109410
Name:MAHER, BOBBI (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:
Last Name:MAHER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13883 CAROLINA CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5521
Mailing Address - Country:US
Mailing Address - Phone:317-441-7999
Mailing Address - Fax:317-770-9533
Practice Address - Street 1:13883 CAROLINA CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-5521
Practice Address - Country:US
Practice Address - Phone:317-441-7999
Practice Address - Fax:317-770-9533
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003993A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist