| Personal Development Associates | |
|
3225 North Meridian Street Suite 200 Indianapolis IN 46208-4680 | |
| (317) 923-6093 | |
| (317) 927-9833 |
| Full Name | Personal Development Associates |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3225 North Meridian Street, Indianapolis, Indiana |
| Authorized Official Name and Position | C. Herbert Henry (OWNER) |
| Authorized Official Contact | 3179236093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Development Associates 3225 North Meridian Street Suite 200 Indianapolis IN 46208-4680 Ph: (317) 923-6093 | Personal Development Associates 3225 North Meridian Street Suite 200 Indianapolis IN 46208-4680 Ph: (317) 923-6093 |
| NPI Number | 1801972203 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801972203 | NPI | - | NPPES |
| 100227230 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 20040083A (Indiana) | Primary |
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