Individual
LISA S ELWOOD-KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3473
(317) 788-2120
Mailing address
727 N GRAHAM AVE, INDIANAPOLIS, IN 46219-5910
(479) 283-9115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042535A
IN
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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