Psychservices Indiana Llc

NPI 1255775490 - Psychologist - 103TC0700X

NPI Details
NPI 1255775490
Enumeration Date 04/18/2013
Last Updated 04/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SAMUEL J SAMUEL
Position MEMBER/MANAGER
Phone (317) 910-7581
Fax
Practice Location
5924 1/2 HILLSIDE AVENUE EAST DR
INDIANAPOLIS IN, 46220-2414, US
Phone (317) 910-7581
Fax
Business Location
5924 1/2 HILLSIDE AVENUE EAST DR
INDIANAPOLIS IN, 46220-2414, US
Phone (317) 910-7581
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Psychservices Indiana Llc NPI is 1255775490, taxonomy code is 103TC0700X Psychservices Indiana Llc physically located at 5924 1/2 Hillside Avenue East Dr, Indianapolis IN, 46220-2414. NPI Number 1033115704 has the healthcare provider type.

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1255775490 NPI number is provided on an as is basis without warranty of any kind. 1255775490 is maintained by the National Plan & Provider Enumeration System. The contents of Psychservices Indiana Llc are for informational purposes only.