Individual
SOPHIE NEUHOFF VIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10291 N MERIDIAN ST STE 310, CARMEL, IN 46290-1083
(317) 672-1970
Mailing address
6533 MOSS CREEK PL, INDIANAPOLIS, IN 46237-2863
(317) 473-2150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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