Individual
MISS ABBY ELIZABETH TENBARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCW
Contact information
Practice address
480 EVERSMAN DRIVE, JASPER, IN 47547-0769
(812) 482-3020
Mailing address
480 EVERSMAN DRIVE, JASPER, IN 47547-0769
(812) 482-3020
(812) 482-6409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
99058521A
IN
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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