| Indiana Evaluation Services | |
|
2633 E Dekist St Bloomington IN 47408-4216 | |
| (812) 333-1706 | |
| (812) 336-3283 |
| Full Name | Indiana Evaluation Services |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2633 E Dekist St, Bloomington, Indiana |
| Authorized Official Name and Position | Dorothy Lynn O'connor (PRESIDENT) |
| Authorized Official Contact | 8123331706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Evaluation Services 2633 Dekist Street Bloomington IN 47408-4216 Ph: (812) 333-1766 | Indiana Evaluation Services 2633 E Dekist St Bloomington IN 47408-4216 Ph: (812) 333-1706 |
| NPI Number | 1730353434 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730353434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 20041846 (Indiana) | Primary |
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