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NPI Code Detail

MEDICARE: PARRISH-SPROWL & ASSOCIATES, INC.

MEDICARE: PARRISH-SPROWL & ASSOCIATES, INC.
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
1261QM0850XAdult Mental Health Clinic/Center34003497AIN

General Provider Information

NPI Number : 1396900601
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARRISH-SPROWL & ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 6524 CARROLLTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1617
Country : US
Telephone Number : 317-413-7642
Fax Number :
Provider Business Practice Location Address
First Line : 6524 CARROLLTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1617
Country : US
Telephone Number : 317-413-7642
Fax Number :
Authorized Official
Title or Position : VICE-PRESIDENT
Name : DR. SUSAN PARRISH-SPROWL
Credential : PH.D., LCSW
Telephone Number : 13174137642
Provider Enumeration Date : 07/25/2008
Last Update Date : 07/25/2008

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