Organization
TSTAPLETON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET Y GRINSTEAD (OWNER)
(404) 956-7529
Entity
Organization
Contact information
Practice address
5620 CRAWFORDSVILLE RD STE V, INDIANAPOLIS, IN 46224-3726
(404) 956-7529
Mailing address
4325 BLACK OAK DR, INDIANAPOLIS, IN 46228-3109
(404) 956-7529
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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