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Individual

CHRISTOPHER CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8227 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1387
(317) 415-5747
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20041624A
IN
103T00000X
Psychologist
20041624A
IN
103TC0700X
Clinical Psychologist
20041624A
IN
103TE1100X
Exercise & Sports Psychologist
20041624A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200835210
IN
Enumeration date
08/30/2006
Last updated
03/07/2019
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