Organization
VILLAGES OF INDIANA, INC
Active
Other names
THE VILLAGES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY J DAVIS (COMPLIANCE MGR)
(812) 332-1245
Entity
Organization
Contact information
Practice address
2405 N SMITH PIKE, BLOOMINGTON, IN 47404-1363
(812) 332-1245
(812) 333-4717
Mailing address
2405 N SMITH PIKE, BLOOMINGTON, IN 47404-1363
(812) 332-1245
(812) 333-4717
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
08/22/2020
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