Individual
JUDITH M BEALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
702 BARNHILL DR, RM. 4300, INDIANAPOLIS, IN 46202-5128
(317) 274-8162
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01042937
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389290
—
IN
Enumeration date
05/19/2006
Last updated
08/12/2007
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