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Organization

SUGA NEUROPSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE J SUGA PH.D. (MANAGER)
(317) 823-9155
Entity
Organization

Contact information

Practice address
6296 RUCKER RD, INDIANAPOLIS, IN 46220-4888
(317) 823-9155
Mailing address
8539 TIDEWATER DR, INDIANAPOLIS, IN 46236-8917
(317) 823-9155

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/24/2014
Last updated
06/27/2014
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