Organization
CENTRAL PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CADWALLADER PSY.D., LMHC, HSPP (PRESIDENT)
(317) 780-1610
Entity
Organization
Contact information
Practice address
6249 S EAST ST STE I, INDIANAPOLIS, IN 46227-2089
(317) 780-1610
(317) 780-5755
Mailing address
PO BOX 17333, INDIANAPOLIS, IN 46217-0333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042987A
IN
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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