Individual
LAURA VASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 VAN NUYS RD, NEW CASTLE, IN 47362-9060
(765) 593-0111
Mailing address
8594 E 116TH ST APT 220, FISHERS, IN 46038-1580
(314) 599-2034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043348B
IN
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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