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Individual

DR. CARRIE ANN CADWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.,HSPP

Contact information

Practice address
310 N MICHIGAN ST, SUITE 204, PLYMOUTH, IN 46563-1770
(574) 936-3031
(574) 936-3031
Mailing address
15050 BAINBRIDGE CT, WESTFIELD, IN 46074-8871
(574) 485-4583

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042025A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000747271
BCBS
IN
05
200800640A
IN
Enumeration date
10/06/2005
Last updated
08/10/2016
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