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Individual

ADAM W SHUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
14455 CLAY TERRACE BLVD STE 130, CARMEL, IN 46032-3605
(317) 415-5795
Mailing address
14455 CLAY TERRACE BLVD STE 130, CARMEL, IN 46032-3605

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY003802
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200939410
IN
Enumeration date
04/21/2009
Last updated
08/10/2022
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