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General NPI Number Information
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NPI Number | 1790411130
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Entity Type | Organization
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Legal Business Name | INDIANA NEUROPSYCHOLOGY GROUP LLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 10293 N MERIDIAN ST STE 210
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City | CARMEL
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State | IN
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Zip | 46290-1079
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Country | US
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Telephone | 317-806-0209
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Fax | 317-960-3739
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Provider Business Mailing Address
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Address Line | 10293 N MERIDIAN ST STE 210
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City | CARMEL
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State | IN
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Zip | 46290-1079
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST/OWNER
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Name | DR. AYCA BYERLEY
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Credential | PHD
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Telephone | 317-806-0209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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