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Individual

DR. STEVEN ROGER RUMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D. HSPP

Contact information

Practice address
650 E SOUTHPORT RD, SUITE C, INDIANAPOLIS, IN 46227-8592
(317) 782-6015
(317) 782-6929
Mailing address
704 COVERED BRIDGE RD, GREENWOOD, IN 46142-1112
(317) 887-6742

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040148
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100251760A
IN
01
20040148
HSPP (LICENTURE NO.)
IN
Enumeration date
03/16/2007
Last updated
07/08/2007
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