Individual
BRANDEE HETLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 121, PITTSBORO, IN 46167-0121
(317) 663-9372
Mailing address
PO BOX 121, PITTSBORO, IN 46167-0121
(317) 663-9372
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043857A
IN
Other
Enumeration date
05/07/2018
Last updated
05/04/2026
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