Individual
DR. AURA RITA DESCHAMPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10293 N MERIDIAN ST STE 180, INDIANAPOLIS, IN 46290-1073
(317) 955-6587
Mailing address
10293 NORTH MERIDIAN STREET,, SUITE 180, INDIANAPOLIS, IN 46290
(317) 903-6587
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040880A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20001600B
—
IN
01
—
M300054194
MEDICARE
IN
Enumeration date
12/04/2006
Last updated
08/10/2017
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