| Jeffersonville Psychiatric Associates | |
|
1114 E. 10th St. Jeffersonville IN 47130-4227 | |
| (812) 282-2036 | |
| (812) 282-2277 |
| Full Name | Jeffersonville Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1114 E. 10th St., Jeffersonville, Indiana |
| Authorized Official Name and Position | Jeuti B. Wylde (OWNER/OPERATOR) |
| Authorized Official Contact | 8122822036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffersonville Psychiatric Associates Po Box 128 Otisco IN 47163-0128 Ph: (812) 282-2036 | Jeffersonville Psychiatric Associates 1114 E. 10th St. Jeffersonville IN 47130-4227 Ph: (812) 282-2036 |
| NPI Number | 1497909576 |
|---|---|
| Provider Enumeration Date | 11/16/2008 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497909576 | NPI | - | NPPES |
| 100362930 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01041261A (Indiana) | Primary |
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