Individual provider · Type 1 NPI

Jerome Elmer Modlik

Psychologist · Indianapolis, IN

NPI number 1174787436 Active

Practice location

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661

Call (317) 849-8222 Map

Mailing address

8055 N Richardt Ave
Indianapolis, IN 46256-1619

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X20040316A (IN)
Addiction (Substance Use Disorder) Psychologist 103TA0400X20040316A (IN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1174787436

Jerome Elmer Modlik's National Provider Identifier is 1174787436, issued on Jul 16, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 16, 2008.