OrganizationActive
Ball State University
NPI 1093937476 · Audiologist · Muncie, IN
Provider details
- NPI number
- 1093937476
- Entity type
- Organization
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Blair Mattern, Dir of Clinical Operations(765) 285-5354
- License
- 22003456A (IN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Practice location
1613 W Riverside Ave Hb 155
Muncie, IN 47306-1022
Phone: (765) 285-5354
Fax: (765) 285-5623
Approximate (ZIP-level) locationGet directions
Mailing address
1613 W Riverside Ave Hb 155
Muncie, IN 47306-1022
Other names (DBA / former)
- Doing business as
- Interprofessional Community Clinics
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.