Individual
IAN THOMAS ARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
600 N EAGLESON AVE, RM 435, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
600 N EAGLESON AVE, RM 435, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20043678B
IN
103TP2701X
Group Psychotherapy Psychologist
20043678B
IN
Other
Enumeration date
10/01/2008
Last updated
10/01/2023
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