Provider Demographics
NPI:1821436031
Name:THE VOICE CLINIC
Entity Type:Organization
Organization Name:THE VOICE CLINIC
Other - Org Name:THE VOICE CLINIC OF INDIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:HALUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-490-8129
Mailing Address - Street 1:PO BOX 790126
Mailing Address - Street 2:DEPT. 8008
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63179-0126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1185 W CARMEL DR STE D1A
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8708
Practice Address - Country:US
Practice Address - Phone:317-450-4180
Practice Address - Fax:317-324-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061360A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1585OtherMEDICARE PTAN