| Old National Trail Special Services Cooperative | |
|
522 Anderson St, Greencastle, IN 46135-1729 | |
| (765) 653-2781 | |
| (765) 653-6110 |
| Full Name | Old National Trail Special Services Cooperative |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 522 Anderson St, Greencastle, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447333786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Old National Trail Special Services Cooperative 522 Anderson St, P.o. Box 267, Greencastle, IN 46135-1729 Ph: (765) 653-2781 | Old National Trail Special Services Cooperative 522 Anderson St, Greencastle, IN 46135-1729 Ph: (765) 653-2781 |
Lori A Bradbury, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Mill Pond Lane, Greencastle, IN 46135 Phone: 765-653-4397 | |
Lauren Woodsmall, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2008 Windemere Dr, Greencastle, IN 46135 Phone: 812-249-6522 |