Shining Times Psychological Services, Llc | |
3077 E 98th St Suite 170 Indianapolis IN 46280-2940 | |
(317) 566-2814 | |
(317) 566-2815 |
Full Name | Shining Times Psychological Services, Llc |
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Speciality | Community/behavioral Health |
Location | 3077 E 98th St, Indianapolis, Indiana |
Authorized Official Name and Position | Anne Katherine Conley-goldstein (CLINICAL CHILD PSYCHOLOGIST) |
Authorized Official Contact | 3175662814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shining Times Psychological Services, Llc 3077 E 98th St Suite 170 Indianapolis IN 46280-2940 Ph: (317) 566-2814 | Shining Times Psychological Services, Llc 3077 E 98th St Suite 170 Indianapolis IN 46280-2940 Ph: (317) 566-2814 |
NPI Number | 1215201926 |
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Provider Enumeration Date | 02/27/2012 |
Last Update Date | 02/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215201926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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