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NPI Code Detail

MEDICARE: JOICE MUPANDAWANA LMFT

MEDICARE:   JOICE  MUPANDAWANA  LMFT
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
1106H00000XMarriage & Family Therapist35001933AIN

General Provider Information

NPI Number : 1548711732
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOICE MUPANDAWANA LMFT
Provider Business Mailing Address
First Line : 855 N HIGH SCHOOL RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-5701
Country : US
Telephone Number : 317-373-8742
Fax Number :
Provider Business Practice Location Address
First Line : 1414 DANIELLE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46231-1613
Country : US
Telephone Number : 317-373-8742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2016
Last Update Date : 10/22/2016

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Directions to “ JOICE MUPANDAWANA LMFT” Practice Location

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