Fcp Inc. | |
11295 N County Road 300 W Brazil IN 47834-6902 | |
(812) 446-2833 | |
(812) 446-2833 |
Full Name | Fcp Inc. |
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Speciality | Psychologist - Clinical |
Location | 11295 N County Road 300 W, Brazil, Indiana |
Authorized Official Name and Position | James Frank Forster (PRESIDENT) |
Authorized Official Contact | 8124462833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fcp Inc. Po Box 515 Brazil IN 47834-0515 Ph: (812) 446-2833 | Fcp Inc. 11295 N County Road 300 W Brazil IN 47834-6902 Ph: (812) 446-2833 |
NPI Number | 1013031392 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013031392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20040890A (Indiana) | Primary |
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Fcp, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11295 Ncr 300w, Brazil, IN 47834 Phone: 812-446-2833 Fax: 812-446-2833 |