Individual
MELISSA DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 S BAZIL AVE, INDIANAPOLIS, IN 46239-9340
(317) 860-4511
Mailing address
4151 S BAZIL AVE, INDIANAPOLIS, IN 46239-9340
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1588387
IN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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