Trustees of Purdue University

NPI #1619055712 in West Lafayette, Indiana

Provider Information

NPI Number
1619055712
Entity Type
Organization
Organization Name
Trustees of Purdue University
Subpart
Yes (part of a larger organization)
Parent Organization
PURDUE UNIVERSITY
Primary Specialty
Clinic/Center - Hearing and Speech
Enumeration Date
Nov 2, 2006
Last Updated
Aug 3, 2020

Practice Location

Address
715 CLINIC DR
Address 2
ROOM 1042
State
Indiana
ZIP Code
47907-2122
Phone
(765) 494-3789

Authorized Official

Name
TRENTEN D KLINGERMAN
Title
DEPUTY GENERAL COUNSEL
Phone
(765) 496-6846

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Hearing and SpeechHearing and Speech

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