MEDICARE: DANIEL WESTMORELAND, PH.D., HSPP

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1649980541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL WESTMORELAND, PH.D., HSPP

Provider Business Mailing Address
First Line	:	3921 N MERIDIAN ST STE 210
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-4063
Country	:	US
Telephone Number	:	317-252-5258
Fax Number	:

Provider Business Practice Location Address
First Line	:	3921 N MERIDIAN ST STE 210
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-4063
Country	:	US
Telephone Number	:	317-252-5258
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL WESTMORELAND
Credential	:	PH.D, HSPP
Telephone Number	:	901-494-6208

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	05/22/2023

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