| Lisa Rivka Minor, PHD, HSPP, BCBA-D | |
|
1061 E Southern Avenue, Diagnostic Office, Indianapolis, IN 46203 | |
| (317) 207-1986 | |
| Not Available |
| Full Name | Lisa Rivka Minor |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1061 E Southern Avenue, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912348764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20042808A (Indiana) | Primary |
| 103K00000X | Behavior Analyst | 11212660 (NU) | Secondary |
| Entity Name | The Hope Source Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265736615 PECOS PAC ID: 7810422409 Enrollment ID: O20241119003036 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Rivka Minor, PHD, HSPP, BCBA-D 614 E 52nd St, Indianapolis, IN 46205-1156 Ph: (410) 440-5381 | Lisa Rivka Minor, PHD, HSPP, BCBA-D 1061 E Southern Avenue, Diagnostic Office, Indianapolis, IN 46203 Ph: (317) 207-1986 |
Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149 |
Hope Marie Wood, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 975 N Post Rd, Indianapolis, IN 46219 Phone: 317-938-7761 |
Dr. Brianna Margo Borri, PSYD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6640 Intech Blvd Ste 195, Indianapolis, IN 46278 Phone: 616-301-5933 |
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325 |
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729 |
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497 |
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208 |