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Individual

JOHN PAUL MAIERLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
30 SOUTHGATE CT, TERRE HAUTE, IN 47802-4975
(812) 299-5200
Mailing address
30 SOUTHGATE CT, TERRE HAUTE, IN 47802-4975
(812) 299-5200

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20010462A
IN

Other

Enumeration date
06/24/2006
Last updated
07/08/2007
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