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10585 N Meridian St Suite 340 Indianapolis IN 46290-1069 | |
| (317) 580-4007 | |
| (317) 580-4010 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10585 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Kimberly G. Montgomery (PSYCHOLOGIST) |
| Authorized Official Contact | 3175804007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10585 N Meridian St Suite 340 Indianapolis IN 46290-1069 Ph: (317) 580-4007 | 10585 N Meridian St Suite 340 Indianapolis IN 46290-1069 Ph: (317) 580-4007 |
| NPI Number | 1487821856 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487821856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 20040771 (Indiana) | Primary |
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