Individual
LESLIE ANN HULVERSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8162
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01064468A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200891680
—
IN
Enumeration date
02/28/2008
Last updated
06/05/2025
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