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Total Spectrum Autism Services Llc
Clinical Psychologist in Georgetown, Indiana
NPI 1932643590

Total Spectrum Autism Services Llc is a Clinical Psychologist based in Georgetown, IN and is specialized in Clinical. Total Spectrum Autism Services Llc practices in Georgetown, IN. The NPI Number for Total Spectrum Autism Services Llc is 1932643590 and holds a License No. 39002390A (Indiana).

The current practice location address for Total Spectrum Autism Services Llc is 515 Maplewood Blvd, Georgetown, IN and can be reached out via phone at 502-767-9405 and via fax at 812-727-5522.

Location: 515 Maplewood Blvd, Georgetown, IN, 47122-9261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932643590
Provider Name
Total Spectrum Autism Services Llc
Credential
Provider Entity Type
Organization
Address
515 Maplewood Blvd, Georgetown, IN, 47122-9261
Phone Number
502-767-9405
Fax Number
812-727-5522
Provider Enumeration Date
12/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235558628 01 IN COMMERCIAL
1013002443 01 KY COMMERCIAL
1790917060 01 IN COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
515 Maplewood Blvd
City
Georgetown
State
Indiana
Zip
47122-9261
Phone Number
502-767-9405
Fax Number
812-727-5522
person
Provider Business Mailing Address Details
Address
515 Maplewood Blvd
City
Georgetown
State
Indiana
Zip
47122-9261
Phone Number
502-767-9405
Fax Number
812-727-5522
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
129006 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
39002390A (Indiana)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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