Individual
LYNDA CAROLE BOEHME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8710 N MERIDIAN ST, STE 100 A, INDIANAPOLIS, IN 46260-5389
(317) 409-5887
(317) 735-9638
Mailing address
8710 N MERIDIAN ST, STE 100 A, INDIANAPOLIS, IN 46260-5389
(317) 409-5887
(317) 735-9638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003831A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222230
ANTHEM BCBS
IN
01
—
225138000
MAGELLAN
—
Enumeration date
05/15/2006
Last updated
04/30/2008
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