Individual
IRIS M CRIDER-NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
5218 S EAST ST, SUITE E-4, INDIANAPOLIS, IN 46227-1900
(317) 781-0447
(317) 781-0465
Mailing address
5218 S EAST ST, SUITE E-4, INDIANAPOLIS, IN 46227-1900
(317) 781-0447
(317) 781-0465
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20040287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067516
VALUE OPTIONS
IN
01
—
58387816
UBH
IN
Enumeration date
06/15/2006
Last updated
07/08/2007
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