Organization
PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES
Active
Organization
PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN A HUDSON PH.D. (OWNER)
(317) 962-2594
Entity
Organization
Contact information
Practice address
1801 SENATE BLVD, SUITE 770, INDIANAPOLIS, IN 46202-1228
(317) 962-2594
(317) 962-1895
Mailing address
1427 W 86TH ST, SUITE 245, INDIANAPOLIS, IN 46260-2103
(317) 962-2594
(317) 962-1895
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20040858A
IN
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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