Individual
STEPHANIE E HULLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 W 16TH ST, STE 2800, INDIANAPOLIS, IN 46202-2207
(317) 963-7300
(317) 963-7325
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
20042732
IN
103TH0100X
Health Service Psychologist
Primary
20042732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201381040
—
IN
Enumeration date
05/24/2016
Last updated
03/10/2026
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