Organization · Type 2 NPI

Simply Divine

Clinical Psychologist · Indianapolis, IN

NPI number 1194172593 Active

Practice location

141 N Shortridge Rd
Indianapolis, IN 46219-8906

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X8700133A (IN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1194172593

Simply Divine's National Provider Identifier is 1194172593, issued on May 16, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 15, 2016.