NPI | 1952880049 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE GRAFF Insurance & Credentialing Manager 317-376-8336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 103K00000X Behavior Analyst |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
103TH0100X Psychologist, Health Service | |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
225100000X Physical Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |