Individual
DR. KATHRYN ELIZABETH PULLICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6335 S EAST ST, INDIANAPOLIS, IN 46227-7112
(317) 780-1610
Mailing address
6335 S EAST ST, INDIANAPOLIS, IN 46227-7112
(317) 780-1610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043525A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20043525A
INDIANA STATE PSYCHOLOGY BOARD
IN
Enumeration date
06/12/2022
Last updated
06/12/2022
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