Individual
KYLE SURACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9106 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-1881
(317) 575-9111
Mailing address
9106 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-1881
(317) 575-9111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043508B
IN
Other
Enumeration date
09/01/2021
Last updated
06/09/2025
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