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Organization

WESTSIDE COUNSELING & PSYCHOLOGICA SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY E. OSMUNSON EDD (PSYCHOLOGIST PRESIDENT)
(317) 328-1200
Entity
Organization

Contact information

Practice address
3850 SHORE DR, SUITE 303, INDIANAPOLIS, IN 46254-5621
(317) 328-1200
(317) 328-1200
Mailing address
3850 SHORE DR, SUITE 303, INDIANAPOLIS, IN 46254-5621
(317) 328-1200
(317) 328-1200

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040222A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000184223
ANTHEM BC BS
IN
Enumeration date
06/14/2007
Last updated
08/22/2020
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