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Individual

JAMIE OSGATHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HSPP

Contact information

Practice address
222 E OHIO ST, INDIANAPOLIS, IN 46204-2193
(317) 635-3306
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042735A
IN

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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