Individual
JAN ALAN EGLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5124 KNIGHTSBRIDGE CT, TERRE HAUTE, IN 47803-9519
(812) 236-3684
Mailing address
5124 KNIGHTSBRIDGE CT, TERRE HAUTE, IN 47803-9519
(812) 236-3684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040023
IN
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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