Cynthia Sue Addie, MS-CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Martinsville, IN
NPI 1407999873 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407999873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22001216A (IN)
- Practice address
- 7555 Goat Hollow Rd
Martinsville, IN 46151-7875 - Phone
- (317) 373-1580
- Fax
- (317) 831-2270
- NPI assigned
- Feb 15, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001216A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22001216A | IN | Yes |
Addresses
Primary practice location
7555 Goat Hollow Rd
Martinsville, IN 46151-7875
Mailing address
7555 Goat Hollow Rd
Martinsville, IN 46151-7875
Phone (317) 373-1580
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All providers in Martinsville, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.