Organization
SUNCREST PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE DARDEEN (OFFICE MANAGER)
(765) 701-7900
Entity
Organization
Contact information
Practice address
1241 CUMBERLAND AVE STE E, WEST LAFAYETTE, IN 47906-1304
(765) 701-7900
Mailing address
1241 CUMBERLAND AVE STE E, WEST LAFAYETTE, IN 47906-1304
(657) 017-9007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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