| Wildcat Psychological Services, 'llc' | |
|
3016 Lake Shore Dr Unit E Indianapolis IN 46205-2324 | |
| (317) 446-4146 | |
| Not Available |
| Full Name | Wildcat Psychological Services, 'llc' |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3016 Lake Shore Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Ronda Pearl Alexander (MANAGER) |
| Authorized Official Contact | 3174464146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildcat Psychological Services, 'llc' Po Box 20009 Indianapolis IN 46205 Ph: (317) 446-4146 | Wildcat Psychological Services, 'llc' 3016 Lake Shore Dr Unit E Indianapolis IN 46205-2324 Ph: (317) 446-4146 |
| NPI Number | 1245541499 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245541499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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