JILL CHERIE FODSTAD

INDIANAPOLIS, IN
NPI1710237458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IN  20042696A)
Additional Taxonomies103T00000X Psychologist
(Licence: MD  05202)
Enumeration Date2012-09-10
Last Update Date2021-01-21
Business Address
JILL CHERIE FODSTAD PhD, HSPP
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-2066
Mailing Address
JILL CHERIE FODSTAD PhD, HSPP
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: