Provider Demographics
NPI:1780030288
Name:ARDOIN, SARAH LEIGH (MT-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LEIGH
Last Name:ARDOIN
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8638 LOG RUN DR S
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-1332
Mailing Address - Country:US
Mailing Address - Phone:317-850-6982
Mailing Address - Fax:317-858-8715
Practice Address - Street 1:225 S SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1360
Practice Address - Country:US
Practice Address - Phone:317-858-8630
Practice Address - Fax:317-858-8715
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist