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NPI Code Detail

MEDICARE: PATRICK MCGREEVY PHD

MEDICARE: PATRICK MCGREEVY 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
1103K00000XBehavior Analyst1-00-0157IN

General Provider Information

NPI Number : 1669614756
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK MCGREEVY PHD
Provider Business Mailing Address
First Line : 7901 E 88TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1235
Country : US
Telephone Number : 317-849-5437
Fax Number : 317-842-5911
Provider Business Practice Location Address
First Line : 7901 E 88TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1235
Country : US
Telephone Number : 317-849-5437
Fax Number : 317-842-5911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2009
Last Update Date : 02/04/2011

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