Individual
DR. ELIZABETH BUTLER VANTASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10293 N MERIDIAN ST, STE 180, INDIANAPOLIS, IN 46290-1073
(317) 503-7548
(317) 853-1314
Mailing address
10293 N MERIDIAN ST, STE 180, INDIANAPOLIS, IN 46290-1073
(317) 573-0748
(317) 853-1314
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20010401A
IN
Other
Enumeration date
09/25/2006
Last updated
04/27/2016
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