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Contact Information

MICHAEL HINES, PSYD, HSPP
5315 LAFAYETTE RD
INDIANAPOLIS, IN46254-1618
 Phone: 317-974-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL HINES · (Male)

NPI # 1679081806
Status Active
Credentials PSYD, HSPP
Entity Individual
Enumeration date 01/23/2018
Last updated 03/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 20042507A
Hospital affiliation(s) Not Available
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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