Organization
DANIELLE BELOSO PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE BLAISE BELOSO PSYD (PSYCHOLOGIST)
(317) 931-9241
Entity
Organization
Contact information
Practice address
2555 E 55TH PL, SUITE 202, INDIANAPOLIS, IN 46220-3549
(317) 931-9241
Mailing address
2555 E 55TH PL, SUITE 202, INDIANAPOLIS, IN 46220-3549
(317) 931-9241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042422A
IN
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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