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Individual

DR. DANIELLE BELOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
2555 E 55TH PL, SUITE 202, INDIANAPOLIS, IN 46220-3549
(317) 931-9241
Mailing address
2555 E 55TH PL, SUITE 202, INDIANAPOLIS, IN 46220-3549
(317) 931-9241

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
018052
NY
103T00000X
Psychologist
Primary
20042422A
IN
103T00000X
Psychologist
4709
NJ
103T00000X
Psychologist
CP1284
ME

Other

Enumeration date
06/26/2007
Last updated
01/20/2014
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