| Qualife Psychology, Llc | |
|
6544 Ferguson St Indianapolis IN 46220-1178 | |
| (317) 528-9110 | |
| Not Available |
| Full Name | Qualife Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6544 Ferguson St, Indianapolis, Indiana |
| Authorized Official Name and Position | Tami Krichiver (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3175289110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qualife Psychology, Llc 6544 Ferguson St Indianapolis IN 46220-1178 Ph: (317) 528-9110 | Qualife Psychology, Llc 6544 Ferguson St Indianapolis IN 46220-1178 Ph: (317) 528-9110 |
| NPI Number | 1053857821 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 0840573499 |
|---|---|
| Medicare Enrollment ID | O20170131000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053857821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042554A (Indiana) | Primary |
| Provider Name | Tami S Krichiver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013293687 PECOS PAC ID: 4284898040 Enrollment ID: I20120607000670 |
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