| Amy Burbage Llc | |
|
11495 Pennsylvania St Ste 126 Carmel IN 46032-6804 | |
| (317) 643-3775 | |
| (317) 663-2927 |
| Full Name | Amy Burbage Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11495 Pennsylvania St Ste 126, Carmel, Indiana |
| Authorized Official Name and Position | Amy Burbage (PSYCHOLOGIST) |
| Authorized Official Contact | 3175095113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Burbage Llc 11495 Pennsylvania St Ste 126 Carmel IN 46032-6804 Ph: (317) 643-3775 | Amy Burbage Llc 11495 Pennsylvania St Ste 126 Carmel IN 46032-6804 Ph: (317) 643-3775 |
| NPI Number | 1740985795 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740985795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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