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1760 S Ramsey Dr Bloomington IN 47401-7179 | |
| (205) 336-1098 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1760 S Ramsey Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Jacinda C Hammel (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2053361098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1760 S Ramsey Dr Bloomington IN 47401-7179 Ph: (205) 336-1098 | 1760 S Ramsey Dr Bloomington IN 47401-7179 Ph: (205) 336-1098 |
| NPI Number | 1831786920 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831786920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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