Individual
MR. RODERICK D. LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
TRANSITIONAL ASSISTANCE SVC., 6100 N. KEYSTONE AVENUE, SUITE 237, INDIANAPOLIS, IN 46220-2426
(317) 466-1740
(317) 466-1710
Mailing address
8040 BAY BROOK DR, INDIANAPOLIS, IN 46256-1690
(317) 842-5787
(317) 466-1710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
07/09/2007
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