Zionsville Psychological Services Pc

NPI 1780892349 - Psychologist - 103TC0700X

NPI Details
NPI 1780892349
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOUGLAS KENNETH DOUGLAS
Position PRESIDENT
Phone (317) 873-6265
Fax
Practice Location
3420 WINDY KNOLL LN
WESTFIELD IN, 46074-8378, US
Phone (317) 873-6265
Fax
Business Location
3420 WINDY KNOLL LN
WESTFIELD IN, 46074-8378, US
Phone (317) 873-6265
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Indiana
License Number 57000045
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According to our database, Zionsville Psychological Services Pc NPI is 1780892349, taxonomy code is 103TC0700X and license number is 57000045, license state is located at Indiana. Zionsville Psychological Services Pc physically located at 3420 Windy Knoll Ln, Westfield IN, 46074-8378. NPI Number 1033115704 has the healthcare provider type.

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1780892349 NPI number is provided on an as is basis without warranty of any kind. 1780892349 is maintained by the National Plan & Provider Enumeration System. The contents of Zionsville Psychological Services Pc are for informational purposes only.