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EDMUND CHARLES HASKINS PHD

Clinical Neuropsychologist

Indianapolis, Indiana

Provider NPI: 1689666141

Provider Information:
 EDMUND CHARLES HASKINS PHD
Gender: M
Not Sole Proprietor

Practice Location:
9240 N MERIDIAN ST SE 320 INDIANAPOLIS, IN 46260 US
Tel: 317-844-1658  Fax: --

Business Mailing Address:
9240 N MERIDIAN ST STE 320 INDIANAPOLIS, IN 46260 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IN20040177A

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICARE PTANP01157050IN01
100376730AIN05
MEDICARE RAILROAD680011626IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS IN - Page 1



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