| Moonstone Psychological Services, Llc | |
|
1905 S New Market St Ste 260 Carmel IN 46032-7424 | |
| (317) 564-9797 | |
| (877) 401-3034 |
| Full Name | Moonstone Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1905 S New Market St Ste 260, Carmel, Indiana |
| Authorized Official Name and Position | Colin Rak-dietz (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3175649797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonstone Psychological Services, Llc 1905 S New Market St Ste 260 Carmel IN 46032-7424 Ph: (317) 564-9797 | Moonstone Psychological Services, Llc 1905 S New Market St Ste 260 Carmel IN 46032-7424 Ph: (317) 564-9797 |
| NPI Number | 1790401735 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790401735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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