Individual
LAURIE RUSHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
20042557A
IN
Other
Enumeration date
07/19/2010
Last updated
02/03/2017
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