Individual
AMY LOUISE REXROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
230 1ST ST NE, CARMEL, IN 46032-1804
(317) 810-1005
Mailing address
230 1ST ST NE, CARMEL, IN 46032-1804
(317) 810-1005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041891A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325362
BCBS
—
Enumeration date
06/07/2006
Last updated
08/23/2022
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