Provider Demographics
NPI:1487999058
Name:ANSTY, EMILY STENZ (MA, SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:STENZ
Last Name:ANSTY
Suffix:
Gender:F
Credentials:MA, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 W 96TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1215
Mailing Address - Country:US
Mailing Address - Phone:317-407-6590
Mailing Address - Fax:
Practice Address - Street 1:200 SOUTH JORDAN AVENUE
Practice Address - Street 2:IU SPEECH & HEARING CLINIC
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47405-7002
Practice Address - Country:US
Practice Address - Phone:812-855-6251
Practice Address - Fax:812-855-5561
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005604A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist