Organization
COMMUNITY PSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L SANDERS PH.D.,HSPP (PARTNER)
(317) 574-1785
Entity
Organization
Contact information
Practice address
201 W 103RD ST, SUITE 280, INDIANAPOLIS, IN 46290-1087
(317) 574-1785
(317) 574-1786
Mailing address
201 W 103RD ST, SUITE 280, INDIANAPOLIS, IN 46290-1087
(317) 574-1785
(317) 574-1786
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051950A
—
IN
Enumeration date
05/17/2007
Last updated
07/17/2008
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