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Organization

SOPER CONSULTING, PC

Active
Parent organization
SOPER CONSULTING, PC
Other names
At The Well
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOPER CONSULTING, PC
Authorized official
DR. DAVID ANTHONY SOPER PH.D. (PRESIDENT)
(317) 626-2462
Entity
Organization

Contact information

Practice address
12999 PARKSIDE DRIVE, FISHERS, IN 46038
(317) 579-9356
(317) 774-1531
Mailing address
7166 SUMMER OAK DRIVE, NOBLESVILLE, IN 46062
(317) 626-2462
(317) 774-1531

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
20040752A
IN
103TC0700X
Clinical Psychologist
Primary
20040752A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20040752A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
57000107A
IN

Other

Enumeration date
10/09/2006
Last updated
07/16/2010
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