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Organization

MAHAN AND ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUELLYN MAHAN PH.D (OWNER)
(812) 236-9569
Entity
Organization

Contact information

Practice address
2931 OHIO BLVD, SUITE 101, TERRE HAUTE, IN 47803-2240
(812) 236-9569
(812) 235-2929
Mailing address
1400 E PUGH DR, SUITE 10, TERRE HAUTE, IN 47802-3942
(812) 236-9569
(812) 235-2929

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
IN

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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