| NPI | 1265586481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HINKLE Owner 317-815-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040626A) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: IN 20040626A) |
| 103TC0700X Psychologist Clinical (Licence: IN 20040626A) | |
| 103TF0000X Psychologist Family (Licence: IN 20040626A) | |
| 103TH0100X Psychologist Health Service (Licence: IN 20040626A) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IN 20040626A) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |