Jeffersonville Psychiatric Associates | |
1114 E. 10th St. Jeffersonville IN 47130-4227 | |
(812) 282-2036 | |
(812) 282-2277 |
Full Name | Jeffersonville Psychiatric Associates |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1114 E. 10th St., Jeffersonville, Indiana |
Authorized Official Name and Position | Jeuti B. Wylde (OWNER/OPERATOR) |
Authorized Official Contact | 8122822036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeffersonville Psychiatric Associates Po Box 128 Otisco IN 47163-0128 Ph: (812) 282-2036 | Jeffersonville Psychiatric Associates 1114 E. 10th St. Jeffersonville IN 47130-4227 Ph: (812) 282-2036 |
NPI Number | 1497909576 |
---|---|
Provider Enumeration Date | 11/16/2008 |
Last Update Date | 05/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497909576 | NPI | - | NPPES |
100362930 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01041261A (Indiana) | Primary |
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