Individual
DANIEL F REXROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7300
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20041914A
IN
2084N0600X
Clinical Neurophysiology Physician
20041914
IN
2084N0600X
Clinical Neurophysiology Physician
Primary
20041914A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502960
—
IN
01
—
P00245001
RAIL ROAD MEDICARE
IN
Enumeration date
06/01/2006
Last updated
02/15/2025
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