Organization
PERSONAL DEVELOPMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. HERBERT HENRY PH. D., HSPP (OWNER)
(317) 923-6093
Entity
Organization
Contact information
Practice address
3225 NORTH MERIDIAN STREET, SUITE 200, INDIANAPOLIS, IN 46208-4680
(317) 923-6093
(317) 927-9833
Mailing address
3225 NORTH MERIDIAN STREET, SUITE 200, INDIANAPOLIS, IN 46208-4680
(317) 923-6093
(317) 927-9833
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20040083A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227230
—
IN
Enumeration date
10/27/2006
Last updated
06/25/2008
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