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Individual

PAMELA WEISSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LMFT

Contact information

Practice address
8935 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46260-5379
(317) 844-9907
(317) 844-9930
Mailing address
8935 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46260-5379
(317) 844-9907
(317) 844-9930

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34000806
IN
106H00000X
Marriage & Family Therapist
35000371
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000182982
ANTHEM ID NUMBER
IN
Enumeration date
08/20/2006
Last updated
02/29/2008
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