Macy Collett

Individual provider Active NPI Speech-Language Pathologist · Whitestown, IN

NPI 1295569929 · NPPES record last updated Aug 27, 2024

Key facts

NPI
1295569929
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
2507 S 650 E
Whitestown, IN 46075-9637
Phone
(317) 600-5750
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

2507 S 650 E
Whitestown, IN 46075-9637

Mailing address

2507 S 650 E
Whitestown, IN 46075-9637

Other names

  • Macy Moore Former name

Other providers in Whitestown, IN

All providers in Whitestown, IN · Speech-Language Pathologist in Indiana

Sources for this page

Verify at the official NPI Registry.