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General NPI Number Information
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NPI Number | 1649980541
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Entity Type | Organization
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Legal Business Name | DANIEL WESTMORELAND, PH.D., HSPP
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 3921 N MERIDIAN ST STE 210
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-4063
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Country | US
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Telephone | 317-252-5258
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 N MERIDIAN ST STE 210
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-4063
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Country | US
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Telephone | 317-252-5258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL WESTMORELAND
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Credential | PH.D, HSPP
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Telephone | 901-494-6208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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