Individual
EBONI STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
1224 PROSPECT ST, INDIANAPOLIS, IN 46203-1979
(317) 750-0782
Mailing address
1224 PROSPECT ST, INDIANAPOLIS, IN 46203-1979
(317) 750-0782
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043668A
IN
Other
Enumeration date
07/11/2023
Last updated
12/09/2025
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