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Organization

MOMI YAMANAKA, PH.D. HSPP LLC.

Active
Other names
Psychology and Counseling Associates of Carmel
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOMI YAMANAKA PH.D. HSPP (OWNER)
(317) 517-8817
Entity
Organization

Contact information

Practice address
7739 E 88TH ST, INDIANAPOLIS, IN 46256-1231
(317) 517-8817
(888) 443-4046
Mailing address
PO BOX 1064, CARMEL, IN 46082-1064
(317) 517-8817
(888) 443-4046

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
20042030A
IN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
20042030A
IN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20042030A
IN
103TC1900X
Counseling Psychologist
20042030A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042030A
IN
103TF0000X
Family Psychologist
20042030A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20042030A
IN
103TS0200X
School Psychologist
1601241
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200913370A
IN
Enumeration date
12/31/2015
Last updated
12/31/2015
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