Individual
LAURA HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043368B
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2018
Last updated
11/04/2020
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