Organization
PSYCHSERVICES INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL J MOEHLE (MEMBER/MANAGER)
(317) 910-7581
Entity
Organization
Contact information
Practice address
5924 1/2 HILLSIDE AVENUE EAST DR, INDIANAPOLIS, IN 46220-2414
(317) 910-7581
Mailing address
5924 1/2 HILLSIDE AVENUE EAST DR, INDIANAPOLIS, IN 46220-2414
(317) 910-7581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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