Michael A Drake PSY D HSPP

NPI 1023095338 - Psychologist - 103TC0700X

NPI Details
NPI 1023095338
Gender Male
Enumeration Date 12/28/2005
Last Updated 10/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
515 BAYOU ST
VINCENNES IN, 47591-1034, US
Phone (812) 886-6800
Fax (812) 886-6809
Business Location
515 BAYOU ST
VINCENNES IN, 47591-1034, US
Phone (812) 886-6800
Fax (812) 886-6809
Toxanomy
Taxonomy Code 103TC0700X
License State Indiana
License Number 20040859A
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According to our database, Dr. Michael A Drake PSY D HSPP NPI is 1023095338, taxonomy code is 103TC0700X and license number is 20040859A, license state is located at Indiana. Michael A Drake PSY D HSPP physically located at 515 Bayou St, Vincennes IN, 47591-1034. NPI Number Michael A Drake PSY D HSPP has the Individual type.

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1023095338 NPI number is provided on an as is basis without warranty of any kind. 1023095338 is maintained by the National Plan & Provider Enumeration System. The contents of Michael A Drake PSY D HSPP are for informational purposes only.