Individual
JODI STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP
Contact information
Practice address
431 E MAIN ST, BLOOMFIELD, IN 47424-1460
(812) 384-9452
(812) 384-9445
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041793
IN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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