Organization
BEECH TREE CONSULTING AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBBI CRAIN PSY.D., HSPP (OWNER/CLINICAL PSYCHOLOGIST)
(317) 780-5750
Entity
Organization
Contact information
Practice address
6249 S EAST ST, SUITE I, INDIANAPOLIS, IN 46227-2091
(317) 780-5750
(317) 780-5755
Mailing address
PO BOX 823, BEECH GROVE, IN 46107
(317) 780-5750
(317) 780-5755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042288A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200939250
—
IN
01
—
215040K
MEDICARE
IN
Enumeration date
03/14/2013
Last updated
02/28/2017
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