Individual
ELESIA N. HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
705 RILEY HOSPITAL DR, RI 5837, INDIANAPOLIS, IN 46202-5109
(317) 944-8167
(317) 944-9760
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201230350
—
IN
Enumeration date
06/07/2011
Last updated
02/14/2026
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