Kokomo Academy

NPI 1043496060 - Psychologist - 103TC0700X

NPI Details
NPI 1043496060
Enumeration Date 01/22/2008
Last Updated 01/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ROGER ROGER
Position VICE PRESIDENT
Phone (765) 452-9989
Fax
Practice Location
623 S BERKLEY RD
KOKOMO IN, 46901-5150, US
Phone (765) 452-9989
Fax
Business Location
900 KEYSTONE CROSSING
STE 1040
INDIANAPOLIS IN, 46240, US
Phone (317) 694-4074
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Kokomo Academy NPI is 1043496060, taxonomy code is 103TC0700X Kokomo Academy physically located at 623 S Berkley Rd, Kokomo IN, 46901-5150. NPI Number 1033115704 has the healthcare provider type.

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1043496060 NPI number is provided on an as is basis without warranty of any kind. 1043496060 is maintained by the National Plan & Provider Enumeration System. The contents of Kokomo Academy are for informational purposes only.