Individual
MICHAEL ELMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8213
(812) 231-8208
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20040974
IN
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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