Organization
DOUP PSYCHOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN A DOUP PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(812) 657-4784
Entity
Organization
Contact information
Practice address
424 WASHINGTON ST STE 7, COLUMBUS, IN 47201-6790
(812) 657-4784
(812) 379-8068
Mailing address
450 JACKSON ST UNIT 1495, COLUMBUS, IN 47202-2860
(812) 657-4784
(812) 379-8068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042503A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201014370
—
IN
Enumeration date
06/01/2015
Last updated
06/01/2015
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