Individual
ALYSSA MARIE KREGLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP
Contact information
Practice address
1600 W MAIN ST, LEBANON, IN 46052-2388
(317) 574-1254
(317) 674-0060
Mailing address
697 PRO MED LN, CARMEL, IN 46032-5323
(317) 574-1254
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043246A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20043246A
PSYCHOLOGIST LICENSE
IN
01
—
20043246B
HEALTH SERVICE PROVIDER IN PSYCHOLOGY (HSPP)
IN
Enumeration date
08/11/2016
Last updated
08/05/2026
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