Organization
AMY BURBAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BURBAGE PH.D. (PSYCHOLOGIST)
(317) 509-5113
Entity
Organization
Contact information
Practice address
11495 PENNSYLVANIA ST STE 126, CARMEL, IN 46032-6804
(317) 643-3775
(317) 663-2927
Mailing address
11495 PENNSYLVANIA ST STE 126, CARMEL, IN 46032-6804
(317) 643-3775
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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