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Jerome Modlik
NPI 1174787436 · on the registry since 2008
Practice
- Address
- 8102 Clearvista Pkwy
Indianapolis, IN 46256 - Phone
- (317) 849-8222
- Organisation at this address
- Fairbanks Hospital, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Also registered as
- Addiction (Substance Use Disorder) Psychologist
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana