Individual
JANE A WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4201 MANNHEIM RD, SUITE G, JASPER, IN 47546-7965
(812) 481-9988
(812) 481-9989
Mailing address
4201 MANNHEIM RD, SUITE G, JASPER, IN 47546-7965
(812) 481-9988
(812) 481-9989
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040709
IN
Other
Enumeration date
11/01/2006
Last updated
04/10/2008
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