| NPI | 1285839480 |
|---|---|
| Doing Business As | INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHARON E FREEMAN CLEVENGER Owner 260-969-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IN 70000153A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001565A) |
| 103TH0100X Psychologist, Health Service (Licence: IN 20042050A) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2019-04-23 |