Individual
ANGELINA JANTINA POLSINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7204
Mailing address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043280B
IN
Other
Enumeration date
09/08/2017
Last updated
02/02/2021
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