POONAM ISHANPARA

AVON, IN
NPI1245629096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IN  20042843A)
Additional Taxonomies103T00000X Psychologist
103T00000X Psychologist
(Licence: FL  PY9504)
103TA0700X Psychologist, Adult Development & Aging
(Licence: IN  20042843A)
103TC0700X Psychologist, Clinical
(Licence: IN  20042843A)
Enumeration Date2015-01-16
Last Update Date2024-11-03
Business Address
POONAM ISHANPARA Psy.D.
6845 E US HIGHWAY 36 STE 500
AVON, IN 46123-9781
Phone number: 813-289-6597
Mailing Address
POONAM ISHANPARA Psy.D.
6845 E US HIGHWAY 36 STE 500
AVON, IN 46123-9781
Phone number: 317-742-1340