Individual
FREDERICK VANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THERAPIST
Contact information
Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 322-4094
Mailing address
1333 CLIFF RIDGE CT, INDIANAPOLIS, IN 46217-2753
(317) 322-4094
(317) 322-4095
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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