Individual
STEPHANIE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 E STOP 11 RD STE 250, INDIANAPOLIS, IN 46237-6399
(317) 528-8921
(317) 528-6916
Mailing address
5230 E STOP 11 RD STE 250, INDIANAPOLIS, IN 46237-6399
(317) 528-8641
(317) 528-6872
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043110A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010667
—
IN
Enumeration date
06/02/2017
Last updated
11/27/2023
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