| Center For Psychological Development, Pc | |
|
526 N Martin Ave Muncie IN 47303-3537 | |
| (765) 287-1922 | |
| Not Available |
| Full Name | Center For Psychological Development, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 526 N Martin Ave, Muncie, Indiana |
| Authorized Official Name and Position | Tammy L Lampke (BILLING) |
| Authorized Official Contact | 7652871922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychological Development, Pc 526 N Martin Ave Muncie IN 47303-3537 Ph: (765) 287-1922 | Center For Psychological Development, Pc 526 N Martin Ave Muncie IN 47303-3537 Ph: (765) 287-1922 |
| NPI Number | 1003986795 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003986795 | NPI | - | NPPES |
| 200240750A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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