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Individual

MARIA ANTONIA VALENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6470 N SHADELAND AVE, SUITE C, INDIANAPOLIS, IN 46220-4390
(317) 849-9509
(317) 841-1157
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01037902A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01037902A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200040110
IN
Enumeration date
09/13/2006
Last updated
10/09/2017
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