| Louise Miracle, Phd, Hspp, Inc. | |
|
2525 W. Vernal Pike Bloomington IN 47404 | |
| (812) 339-4877 | |
| (812) 339-4877 |
| Full Name | Louise Miracle, Phd, Hspp, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2525 W. Vernal Pike, Bloomington, Indiana |
| Authorized Official Name and Position | Louise Miracle (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 8123394877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louise Miracle, Phd, Hspp, Inc. P.o. Box 3155 Bloomington IN 47402 Ph: (812) 339-4877 | Louise Miracle, Phd, Hspp, Inc. 2525 W. Vernal Pike Bloomington IN 47404 Ph: (812) 339-4877 |
| NPI Number | 1629229323 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629229323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20040642A (Indiana) | Primary |
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