Individual
KATHLEEN ISABEL CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1002 WISHARD BLVD STE 4110, INDIANAPOLIS, IN 46202-2872
(317) 944-8162
(317) 944-0609
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043371A
IN
103TC0700X
Clinical Psychologist
20043371A
IN
Other
Enumeration date
07/16/2020
Last updated
01/11/2022
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