| Axon Tms Terre Haute, Llc | |
|
630 Wabash Ave Ste 209 Terre Haute IN 47807-3280 | |
| (812) 648-0014 | |
| (812) 648-0024 |
| Full Name | Axon Tms Terre Haute, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 630 Wabash Ave Ste 209, Terre Haute, Indiana |
| Authorized Official Name and Position | Jerad Dalton (MEMBER) |
| Authorized Official Contact | 8126480014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axon Tms Terre Haute, Llc 9245 N Meridian St Ste 300 Indianapolis IN 46260-1832 Ph: (317) 818-9000 | Axon Tms Terre Haute, Llc 630 Wabash Ave Ste 209 Terre Haute IN 47807-3280 Ph: (812) 648-0014 |
| NPI Number | 1497519995 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497519995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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