| NPI | 1225198203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM CHRISTY Co Owner 317-573-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041691A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042436A) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20041891A) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042133A) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20041351) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20041804A) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042876A) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-03-08 |