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Organization

SILVER MAPLE PSYCHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMILY FLEMING WILLIAMS PSY.D. (OWNER)
(317) 208-0731
Entity
Organization

Contact information

Practice address
13295 ILLINOIS ST STE 207, CARMEL, IN 46032-3021
(317) 208-0731
Mailing address
5325 E 82ND ST # 194, INDIANAPOLIS, IN 46250-4510
(317) 208-0731

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396243911
NPI
IN
Enumeration date
01/31/2019
Last updated
01/31/2019
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