Individual
ALAN SCOTT MAUGHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
1806 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 381-4578
(765) 252-1316
Mailing address
1806 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 381-4578
(765) 252-1316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041639A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215914
BCBS
IN
05
—
200199530
—
IN
Enumeration date
11/09/2006
Last updated
10/04/2011
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