Individual
DR. SAMANTHA D. OUTCALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3473
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3473
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042389A
IN
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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