Individual
MICHAEL R QUATTROCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10765 LANTERN ROAD, SUITE 102, FISHERS, IN 46038-3597
(317) 621-4181
(317) 621-4182
Mailing address
10765 LANTERN ROAD, SUITE 102, FISHERS, IN 46038-3597
(317) 621-4181
(317) 621-4182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060501
CIGNA
IN
Enumeration date
04/11/2007
Last updated
12/09/2011
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