| Cope Behavioral Consulting Pc | |
|
4845 Goldenrain Court Indianapolis IN 46237-2564 | |
| (317) 440-7992 | |
| (317) 791-1939 |
| Full Name | Cope Behavioral Consulting Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4845 Goldenrain Court, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffrey Scott Speiden (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 3174407992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Behavioral Consulting Pc 4845 Goldenrain Court Indianapolis IN 46237-2564 Ph: (317) 440-7992 | Cope Behavioral Consulting Pc 4845 Goldenrain Court Indianapolis IN 46237-2564 Ph: (317) 440-7992 |
| NPI Number | 1467498162 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0446253223 |
|---|---|
| Medicare Enrollment ID | O20060816000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467498162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20040943A (Indiana) | Primary |
| Provider Name | Jeffrey Scott Speiden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063454700 PECOS PAC ID: 3971506759 Enrollment ID: I20060817000399 |
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