Individual
DR. RANDALL WADE KRUPSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8945 N MERIDIAN ST, SUITE 125, INDIANAPOLIS, IN 46260-5387
(317) 816-5600
(317) 815-5975
Mailing address
8945 N MERIDIAN ST, SUITE 125, INDIANAPOLIS, IN 46260-5387
(317) 816-5600
(317) 815-5975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040117A
IN
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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