Individual
DR. NICHOLE ROSE-FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202
(812) 988-2523
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043069A
IN
Other
Enumeration date
08/31/2017
Last updated
10/02/2018
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