Individual provider · Type 1 NPI

Jill Cherie Fodstad, PhD, HSPP

Psychologist · Indianapolis, IN

NPI number 1710237458 Active

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Call (317) 944-2066 Map

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X05202 (MD)
Psychologist Primary 103T00000X20042696A (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 1710237458

Jill Cherie Fodstad, PhD, HSPP's National Provider Identifier is 1710237458, issued on Sep 10, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 21, 2021.