Organization
CENTER FOR CHILD AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE J WEESNER PHD HSPP (PSYCHOLOGIST PRESIDENT)
(317) 815-6030
Entity
Organization
Contact information
Practice address
9247 N MERIDIAN ST, SUITE 1A, INDIANAPOLIS, IN 46260-1813
(317) 815-6030
(317) 815-6031
Mailing address
9247 N MERIDIAN ST, SUITE 104, INDIANAPOLIS, IN 46260-1813
(317) 815-6030
(317) 815-6031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202009
ANTHEM
—
01
—
0004619395
AETNA
—
01
—
025314
MHN
—
01
—
1095259
CIGNA
—
01
—
157012253003
CORPHEALTH
—
01
—
31600
CERIDIAN
—
01
—
P11129664
MULTIPLAN
—
01
—
WEESN0001
COMPCARE
—
Enumeration date
01/24/2007
Last updated
08/22/2020
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