| Vajra Psychological Services, Llc | |
|
753 N State St Suite J North Vernon IN 47265-1044 | |
| (812) 346-7744 | |
| (812) 346-3815 |
| Full Name | Vajra Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 753 N State St, North Vernon, Indiana |
| Authorized Official Name and Position | Jason Holland (OWNER) |
| Authorized Official Contact | 8124983470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vajra Psychological Services, Llc 753 N State St Suite J North Vernon IN 47265-1044 Ph: (812) 346-7744 | Vajra Psychological Services, Llc 753 N State St Suite J North Vernon IN 47265-1044 Ph: (812) 346-7744 |
| NPI Number | 1740528702 |
|---|---|
| Provider Enumeration Date | 01/26/2013 |
| Last Update Date | 02/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740528702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20042015A (Indiana) | Primary |
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