| Integral Health Psychology Services, Pc | |
|
605 S Miramar Way Muncie IN 47304-6723 | |
| (765) 281-1442 | |
| Not Available |
| Full Name | Integral Health Psychology Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 605 S Miramar Way, Muncie, Indiana |
| Authorized Official Name and Position | Daniel John Broderick (PRESIDENT) |
| Authorized Official Contact | 7658081687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Health Psychology Services, Pc 605 S Miramar Way Muncie IN 47304-6723 Ph: (765) 281-1442 | Integral Health Psychology Services, Pc 605 S Miramar Way Muncie IN 47304-6723 Ph: (765) 281-1442 |
| NPI Number | 1851421929 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851421929 | NPI | - | NPPES |
| 837986000 | Other | IN | MAGELLAN HEALTH SERVICES |
| 000000371406 | Other | IN | ANTHEM BLUE CROSS |
| 200532030A | Medicaid | IN | |
| 000000028559 | Other | IN | M-PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20041132A (Indiana) | Primary |
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