Skyann Lacy Hardey, M.S.
Individual provider Active NPI Speech-Language Pathologist · Brazil, IN
NPI 1841542008 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1841542008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 46002287A (IN)
- Practice address
- 3312 W County Road 950 N
Brazil, IN 47834-7885 - Phone
- (812) 236-6517
- NPI assigned
- Oct 11, 2012
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46002287A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46002287A | IN | Yes |
Addresses
Primary practice location
3312 W County Road 950 N
Brazil, IN 47834-7885
Mailing address
3312 W County Road 950 N
Brazil, IN 47834-7885
Phone (812) 236-6517
Other providers in Brazil, IN
- Guidance Pediatrics and Autism Services LLC
- Marcelyn Jay Hagan
- Adrienne Ann Hagedorn
- M'Lissa S Haldt
- Janice Renee Hammond
- Russell C Harms
- Jennifer K Harpole
- Caleb Daniel Harrison
- Sabrina Harroll
- Devin Harvey
All providers in Brazil, 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 Oct 11, 2012. 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.