Individual
RICHARD L SUDSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7519 BEECHWOOD CENTRE RD, SUITE 400, AVON, IN 46123-7891
(317) 272-8138
(317) 272-8165
Mailing address
7519 BEECHWOOD CENTRE RD, SUITE 400, AVON, IN 46123-7891
(317) 272-8138
(317) 272-8165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000746A
IN
106H00000X
Marriage & Family Therapist
Primary
35000500A
IN
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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