| NPI | 1477643260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANNA MARIE INGWELL Owner And President 317-726-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: IN 20010507A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20010507A) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |