| Martin Groff Ph.d. Llc | |
|
9240 N Meridian St Suite 320 Indianapolis IN 46260-1880 | |
| (317) 844-7489 | |
| (317) 581-1007 |
| Full Name | Martin Groff Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9240 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Martin Gary Groff (PRESIDENT) |
| Authorized Official Contact | 3178447489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Groff Ph.d. Llc Po Box 983 Noblesville IN 46061-0983 Ph: (317) 844-7489 | Martin Groff Ph.d. Llc 9240 N Meridian St Suite 320 Indianapolis IN 46260-1880 Ph: (317) 844-7489 |
| NPI Number | 1700163102 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Medicare PECOS PAC ID | 3870767908 |
|---|---|
| Medicare Enrollment ID | O20111129000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700163102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20010411A (Indiana) | Primary |
| Provider Name | Martin G Groff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861545196 PECOS PAC ID: 7517861768 Enrollment ID: I20031120000579 |
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