Provider Demographics
NPI:1780880658
Name:ENEIX, ANGELIA MARIE
Entity type:Individual
Prefix:MRS
First Name:ANGELIA
Middle Name:MARIE
Last Name:ENEIX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10938 FAIRWOODS DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8805
Mailing Address - Country:US
Mailing Address - Phone:317-941-3349
Mailing Address - Fax:
Practice Address - Street 1:10938 FAIRWOODS DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-8805
Practice Address - Country:US
Practice Address - Phone:317-595-5925
Practice Address - Fax:317-776-9016
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003537A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist