| Lifespan Neuropsycology, Pc | |
|
1060 East 86th St. Suite 63d Indianapolis IN 46240-1831 | |
| (317) 569-9922 | |
| (317) 962-1895 |
| Full Name | Lifespan Neuropsycology, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1060 East 86th St., Indianapolis, Indiana |
| Authorized Official Name and Position | Bryan A Hudson (OWNER/PHSYICIAN) |
| Authorized Official Contact | 3179622594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Neuropsycology, Pc 1427 West 86th St. Suite 245 Indianapolis IN 46260-2103 Ph: (317) 569-9922 | Lifespan Neuropsycology, Pc 1060 East 86th St. Suite 63d Indianapolis IN 46240-1831 Ph: (317) 569-9922 |
| NPI Number | 1801031042 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801031042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20040858A (Indiana) | Primary |
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