| Modern Strength Psychology Center | |
|
9102 N Meridian St Ste 550 Indianapolis IN 46260-1899 | |
| (614) 448-6693 | |
| Not Available |
| Full Name | Modern Strength Psychology Center |
|---|---|
| Speciality | Psychologist |
| Location | 9102 N Meridian St Ste 550, Indianapolis, Indiana |
| Authorized Official Name and Position | Kassandra E Lowery (OWNER, CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3175593221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Strength Psychology Center 9102 N Meridian St Ste 550 Indianapolis IN 46260-1899 Ph: (317) 559-3221 | Modern Strength Psychology Center 9102 N Meridian St Ste 550 Indianapolis IN 46260-1899 Ph: (614) 448-6693 |
| NPI Number | 1255039079 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 8426402462 |
|---|---|
| Medicare Enrollment ID | O20230926000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255039079 | NPI | - | NPPES |
| 1053820083 | Medicaid | IN | |
| 1548256795 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kevin P Dugan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548256795 PECOS PAC ID: 5890779326 Enrollment ID: I20040614001202 |
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