Healthcare Provider Details

I. General information

NPI: 1982600029
Provider Name (Legal Business Name): ARMEN SARKISSIAN EDD, HSPP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 06/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 E US HIGHWAY 36 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC
AVON IN
46123-8923
US

IV. Provider business mailing address

6655 E US HIGHWAY 36 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC
AVON IN
46123-8923
US

V. Phone/Fax

Practice location:
  • Phone: 317-272-3330
  • Fax: 317-272-3331
Mailing address:
  • Phone: 317-272-3330
  • Fax: 317-272-3331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number20040104A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: