Individual
ALEXANDER MICHAEL BAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMH-BC, RN
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
Mailing address
2643 ADDISON MEADOWS LN, INDIANAPOLIS, IN 46203-6725
(765) 543-5261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28234650A
IN
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
2020130842
IN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
2020130842
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
2020130842
IN
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2020130842
IN
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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