| Thrive Pediatric Feeding Therapy Llc | |
|
4120 Bellemeade Ave Evansville IN 47714-0612 | |
| (812) 470-6589 | |
| Not Available |
| Full Name | Thrive Pediatric Feeding Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4120 Bellemeade Ave, Evansville, Indiana |
| Authorized Official Name and Position | Elizabeth Page Clawson (OWNER) |
| Authorized Official Contact | 8124706589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Pediatric Feeding Therapy Llc 4120 Bellemeade Ave Evansville IN 47714-0612 Ph: (812) 470-6589 | Thrive Pediatric Feeding Therapy Llc 4120 Bellemeade Ave Evansville IN 47714-0612 Ph: (812) 470-6589 |
| NPI Number | 1093201808 |
|---|---|
| Provider Enumeration Date | 07/04/2018 |
| Last Update Date | 07/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093201808 | NPI | - | NPPES |
| 007710607 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042290A (Indiana) | Primary |
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