Individual
COLTER SNETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6411 S EAST ST STE A, INDIANAPOLIS, IN 46227-2737
(317) 780-5750
Mailing address
690 ENGLISH VILLAGE DR APT 102, INDIANAPOLIS, IN 46239-2139
(816) 305-6953
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043325A
IN
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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