Organization
MERIDIAN PSYCHOLOGICAL ASSOCIATES,P.C.
Active
Organization
MERIDIAN PSYCHOLOGICAL ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NADIA TUCKER (PRACTICE ADMINISTRATOR)
(317) 923-2333
Entity
Organization
Contact information
Practice address
4401 CENTRAL AVE, INDIANAPOLIS, IN 46205-1822
(317) 923-2333
(317) 923-2367
Mailing address
4401 CENTRAL AVE, INDIANAPOLIS, IN 46205-1822
(317) 923-2333
(317) 923-2367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
57000016A
IN
103T00000X
Psychologist
57000016A
IN
103TC0700X
Clinical Psychologist
57000016A
IN
103TF0200X
Forensic Psychologist
57000016A
IN
103TH0100X
Health Service Psychologist
Primary
57000016A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
57000016A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100461620A
—
IN
Enumeration date
02/26/2007
Last updated
03/03/2016
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