Organization
INDIANA STATE UNIVERSITY
Active
Other names
ISU Psychology Clinic-Faculty Practice Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE SPROCK PH.D., HSPP (CLINIC DIRECTOR)
(812) 237-3317
Entity
Organization
Contact information
Practice address
450 N 7TH ST, ROOT HALL, TERRE HAUTE, IN 47809-1928
(812) 237-3317
(812) 237-8595
Mailing address
450 N 7TH ST, ROOT HALL, TERRE HAUTE, IN 47809-1928
(812) 237-3317
(812) 237-8595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IN
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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