Individual
DR. ARIEL C BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
800 BUS STOP DR, MADISON, IN 47250
(916) 281-9296
Mailing address
2407 N 500 W, LA PORTE, IN 46350-9765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043329B
IN
Other
Enumeration date
08/28/2020
Last updated
10/15/2020
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