| Mandolin Psychological Assessment Services, Llc | |
|
1201 Cumberland Ave West Lafayette IN 47906-1359 | |
| (765) 239-2347 | |
| Not Available |
| Full Name | Mandolin Psychological Assessment Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1201 Cumberland Ave, West Lafayette, Indiana |
| Authorized Official Name and Position | Amanda Lyn Mckinney (OWNER) |
| Authorized Official Contact | 8152630919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandolin Psychological Assessment Services, Llc 6102 Silvercreek Dr West Lafayette IN 47906-8782 Ph: (815) 263-0919 | Mandolin Psychological Assessment Services, Llc 1201 Cumberland Ave West Lafayette IN 47906-1359 Ph: (765) 239-2347 |
| NPI Number | 1750888202 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750888202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20043000A (Indiana) | Primary |
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