Individual
DR. MAIKA MARIE ARTHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD HSPP
Contact information
Practice address
901 S ROGERS ST STE 106, BLOOMINGTON, IN 47403-4760
(812) 339-3632
(812) 339-3632
Mailing address
901 S ROGERS ST STE 106, BLOOMINGTON, IN 47403-4760
(812) 339-3632
(812) 339-3632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20041758A
IN
103TC0700X
Clinical Psychologist
Primary
20041758A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334004
ANTHEM
—
Enumeration date
03/04/2006
Last updated
08/10/2007
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