| Villages Of Indiana, Inc | |
|
2405 N Smith Pike Bloomington IN 47404-1363 | |
| (812) 332-1245 | |
| (812) 333-4717 |
| Full Name | Villages Of Indiana, Inc |
|---|---|
| Speciality | Psychologist - Psychoanalysis |
| Location | 2405 N Smith Pike, Bloomington, Indiana |
| Authorized Official Name and Position | Kimberly J Davis (COMPLIANCE MGR) |
| Authorized Official Contact | 8123321245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villages Of Indiana, Inc 2405 N Smith Pike Bloomington IN 47404-1363 Ph: (812) 332-1245 | Villages Of Indiana, Inc 2405 N Smith Pike Bloomington IN 47404-1363 Ph: (812) 332-1245 |
| NPI Number | 1558322776 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558322776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Primary |
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