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Individual

DR. MICHAEL HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD, HSPP

Contact information

Practice address
5315 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1618
(317) 974-4000
Mailing address
5315 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1618
(317) 974-4000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042507A
IN
103TH0100X
Health Service Psychologist
20042507A
IN

Other

Enumeration date
01/23/2018
Last updated
03/22/2022
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