Individual
ANNE-MARIE NICOLE FLECKENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 W 16TH ST STE 2500, INDIANAPOLIS, IN 46202-2280
(317) 963-7204
(317) 963-7211
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20043612A
IN
103T00000X
Psychologist
Primary
20043612A
IN
103TH0100X
Health Service Psychologist
20043612B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102717688
ANTHEM PTAN
IN
05
—
300069161
—
IN
Enumeration date
09/15/2022
Last updated
03/07/2025
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