Provider Demographics
NPI:1699819029
Name:GAHIMER, WENDY JO (MA CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:WENDY
Middle Name:JO
Last Name:GAHIMER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:13520 ASHBURY DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8225
Mailing Address - Country:US
Mailing Address - Phone:317-407-2473
Mailing Address - Fax:317-846-9484
Practice Address - Street 1:13520 ASHBURY DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8225
Practice Address - Country:US
Practice Address - Phone:317-407-2473
Practice Address - Fax:317-846-9484
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004005A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist