Individual
SAMANTHA EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E MAIN ST, CARMEL, IN 46032-2343
(317) 571-4005
Mailing address
15097 NEWBURYPORT DR, FISHERS, IN 46040-9125
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10190976
IN
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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