Organization
MEDPSYCH CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A CORRELL PHD (PSYCHOLOGIST/OWNER)
(317) 335-3871
Entity
Organization
Contact information
Practice address
9904 RIDGEWAY CT, MC CORDSVILLE, IN 46055-9790
(317) 335-3871
Mailing address
17330 W CENTER RD, SUITE 110-282, OMAHA, NE 68130-2392
(317) 446-9288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004029A
IN
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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