=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689098667
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AUBREY M CHRISTMAN LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2014
-----------------------------------------------------
Last Update Date | 11/02/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3021 E 98TH ST STE 110
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46280-2942
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-914-2241
-----------------------------------------------------
Fax | 317-807-6102
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3021 E 98TH ST STE 110
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46280-2942
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-914-2241
-----------------------------------------------------
Fax | 317-807-6102
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 35001841A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------