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Organization
WILDCAT PSYCHOLOGICAL SERVICES, 'LLC'
Active
Organization
WILDCAT PSYCHOLOGICAL SERVICES, 'LLC'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONDA PEARL ALEXANDER (MANAGER)
(317) 446-4146
Entity
Organization
Contact information
Practice address
3016 LAKE SHORE DR, UNIT E, INDIANAPOLIS, IN 46205-2324
(317) 446-4146
Mailing address
PO BOX 20009, INDIANAPOLIS, IN 46205
(317) 446-4146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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