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NPI Code Detail

MEDICARE: JENIFER L VOHS PHD

MEDICARE: JENIFER L VOHS PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist20042542AIN
2103T00000XPsychologist20042542AIN

General Provider Information

NPI Number : 1376823641
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER L VOHS PHD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number : 317-962-3834
Fax Number :
Provider Business Practice Location Address
First Line : 2601 COLD SPRING RD STE 8-1092
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-2202
Country : US
Telephone Number : 317-941-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 12/01/2021

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Directions to “ JENIFER L VOHS PHD” Practice Location

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