Gydo | |
9502 Angola Ct Suite 4 Indianapolis IN 46268-3177 | |
(317) 471-8780 | |
(317) 454-0775 |
Full Name | Gydo |
---|---|
Speciality | Social Worker - Clinical |
Location | 9502 Angola Ct, Indianapolis, Indiana |
Authorized Official Name and Position | Allen M Rader (CEO/OWNER) |
Authorized Official Contact | 3174718780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gydo 9502 Angola Ct Suite 4 Indianapolis IN 46268-3177 Ph: (317) 471-8780 | Gydo 9502 Angola Ct Suite 4 Indianapolis IN 46268-3177 Ph: (317) 471-8780 |
NPI Number | 1346655412 |
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Provider Enumeration Date | 06/26/2014 |
Last Update Date | 06/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346655412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34003862A (Indiana) | Primary |
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