Provider Demographics
NPI:1699896936
Name:FRANCIS, ANGELA KAY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:KAY
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 LOUISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-9583
Mailing Address - Country:US
Mailing Address - Phone:812-239-0420
Mailing Address - Fax:812-894-2458
Practice Address - Street 1:9050 LOUISVILLE RD
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-9583
Practice Address - Country:US
Practice Address - Phone:812-239-0420
Practice Address - Fax:812-894-2458
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003911A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200818670AOtherPROVIDER NUMBER-SLP