Individual
MEREDITH W COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8051 S EMERSON AVE STE 350, INDIANAPOLIS, IN 46237-8634
(317) 859-1020
(317) 859-4040
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01059507A
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01059507A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489510
—
IN
Enumeration date
06/10/2005
Last updated
03/23/2021
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