Individual
CAROLINE ANN KISZKA BROSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-2200
(317) 963-1621
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9470
NE
103TC0700X
Clinical Psychologist
Primary
20043219A
IN
103TC0700X
Clinical Psychologist
20043219B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300047720
—
IN
Enumeration date
09/07/2011
Last updated
05/19/2025
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