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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

LEANNE CARLSON, PHD HSPP
50 E 91ST ST
STE 208
INDIANAPOLIS, IN46240
 Phone: 317-431-0897
 Fax: 317-598-0355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEANNE CARLSON · (Female)

NPI Number 1295735744
Credentials PHD HSPP
Entity Individual
Enumeration date 07/27/2005
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
IN License # 20040653A
IN Medicare (Unspecified) 267100
Medicare UPIN R32689
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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