| Isu Psychology Clinic-faculty Practice Svcs | |
|
450 N 7th St Root Hall Terre Haute IN 47809-1928 | |
| (812) 237-3317 | |
| (812) 237-8595 |
| Full Name | Isu Psychology Clinic-faculty Practice Svcs |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 450 N 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | June Sprock (CLINIC DIRECTOR) |
| Authorized Official Contact | 8122373317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isu Psychology Clinic-faculty Practice Svcs 450 N 7th St Root Hall Terre Haute IN 47809-1928 Ph: (812) 237-3317 | Isu Psychology Clinic-faculty Practice Svcs 450 N 7th St Root Hall Terre Haute IN 47809-1928 Ph: (812) 237-3317 |
| NPI Number | 1710097696 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710097696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Indiana) | Primary |
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