Individual
MARGARET F. SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4315 E 3RD ST, BLOOMINGTON, IN 47401-5551
(812) 333-1544
Mailing address
4315 E 3RD ST, BLOOMINGTON, IN 47401-5551
(812) 333-1544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288308
ANTHEM
IN
Enumeration date
08/24/2006
Last updated
07/08/2007
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