Individual
DR. CHRISTINE L. GILLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12337 HANCOCK ST STE 20, CARMEL, IN 46032-5885
(317) 706-6744
(317) 706-6700
Mailing address
12337 HANCOCK ST STE 20, CARMEL, IN 46032-5885
(317) 706-6744
(317) 706-6700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
003346
CT
103TC0700X
Clinical Psychologist
Primary
20043201A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
Enumeration date
01/09/2007
Last updated
11/06/2018
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