Individual
DR. JAMES BRADLEY TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6470 N SHADELAND AVE, SUITE C, INDIANAPOLIS, IN 46220-4390
(317) 849-9509
(317) 841-1157
Mailing address
6470 N SHADELAND AVE, SUITE C, INDIANAPOLIS, IN 46220-4390
(317) 849-9509
(317) 841-1157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040735
IN
Other
Enumeration date
07/29/2005
Last updated
07/09/2007
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