Unknown Individual – Psychologist, NPI 1104888965
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
802, Columbia Street, Lafayette Central Business District, Lafayette, Tippecanoe County, Indiana, 47901, United States
LAFAYETTE, IN 479011439
Phone: (765) 742-0802
Fax: (765) 742-0806
Type: Location
912, Brookridge Court, Brookview, Lafayette, Tippecanoe County, Indiana, 47909, United States
LAFAYETTE, IN 479096231
Phone: (765) 471-2774
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47901)
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