Individual
DR. PATRICIA M COUVILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10293 N MERIDIAN ST, SUITE 375, INDIANAPOLIS, IN 46290-1123
(317) 581-2288
(317) 581-2295
Mailing address
9240 N MERIDIAN ST, STE 320, INDIANAPOLIS, IN 46260-1822
(317) 844-7489
(317) 581-1007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040357
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128810A
—
IN
Enumeration date
08/01/2006
Last updated
10/31/2019
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