| NPI | 1184803611 |
|---|---|
| Other Name | ST. VINCENT PHYSICIAN SERVICES (NEUROPSYCH) |
| Entity Type | Organization |
| Authorized Contact | D. BRUCE HAGA Vice President 317-583-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |