Search › Indiana › 1041C0700X
Judy Bannister, LCSW, LCAC, SAP
NPI 1518300672 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5455w 86th St 102
Indianapolis, IN 46268 - Phone
- (317) 762-0888
- Fax
- (317) 203-0983
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-29
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