Individual
ANN M LAGGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-8162
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041675A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20041675
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352170
—
IN
Enumeration date
05/30/2006
Last updated
12/01/2020
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