| Harrison Psychological Consultations, Llc | |
|
920 N Shadeland Ave Suite G-6a Indianapolis IN 46219-4898 | |
| (317) 600-1620 | |
| (317) 351-0321 |
| Full Name | Harrison Psychological Consultations, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 920 N Shadeland Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Julie Harrison (PRESIDENT) |
| Authorized Official Contact | 3176001620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Psychological Consultations, Llc Po Box 19313 Indianapolis IN 46219-0313 Ph: (317) 600-1620 | Harrison Psychological Consultations, Llc 920 N Shadeland Ave Suite G-6a Indianapolis IN 46219-4898 Ph: (317) 600-1620 |
| NPI Number | 1538429196 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 1052575388 |
|---|---|
| Medicare Enrollment ID | O20120615000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538429196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041897A (Indiana) | Primary |
| Provider Name | Julie A Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407890700 PECOS PAC ID: 6709861024 Enrollment ID: I20040622000003 |
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