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NPI Code Detail

MEDICARE: DR. JANELL HARGROVE PH.D.

MEDICARE: DR. JANELL HARGROVE PH.D.
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
1103T00000XPsychologistPSY003574GA

General Provider Information

NPI Number : 1477808798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANELL HARGROVE PH.D.
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 3800 CAMP CREEK PKWY SW STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30331-6247
Country : US
Telephone Number : 770-999-9271
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 11/19/2025

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Directions to “ DR. JANELL HARGROVE PH.D.” Practice Location

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