Individual
AMY BAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
550 UNIVERSITY BLVD, UH 4100, INDIANAPOLIS, IN 46202-5149
(317) 274-3960
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041553
IN
Other
Enumeration date
04/27/2006
Last updated
11/09/2007
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