Individual
DR. JONATHAN HUGH THOMAS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6640 INTECH BLVD, INDIANAPOLIS, IN 46278-2011
(317) 274-8812
(317) 274-0133
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
99023416A
IN
103TC0700X
Clinical Psychologist
Primary
20042189
IN
Other
Enumeration date
09/29/2006
Last updated
11/03/2024
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