| NPI | 1528107927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHATLOS Practice Administrator 317-575-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 235Z00000X Speech-Language Pathologist, | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |