Organization
CENTER FOR PSYCHOLOGICAL DEVELOPMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L LAMPKE (BILLING)
(765) 287-1922
Entity
Organization
Contact information
Practice address
526 N MARTIN AVE, MUNCIE, IN 47303-3537
(765) 287-1922
Mailing address
526 N MARTIN AVE, MUNCIE, IN 47303-3537
(765) 287-1922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200240750A
—
IN
Enumeration date
11/09/2006
Last updated
02/19/2009
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