Individual
BRANNON WALSMITH HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSPP
Contact information
Practice address
5317 E 16TH ST, INDIANAPOLIS, IN 46218-4897
(317) 355-3700
(317) 355-7793
Mailing address
1503 N MITTHOEFFER RD, INDIANAPOLIS, IN 46229-2425
(317) 934-0800
(317) 355-6150
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20043107A
IN
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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