Backhaus, Sougandhi

Backhaus, Sougandhi is an individual health care provider with primary practice located at 4141 Shore Dr , Indianapolis IN 46254-2607. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Backhaus, Sougandhi can be contacted via phone (317) 329-2219.

Contact Information

Primary practice address
4141 Shore Dr Indianapolis IN 46254-2607
Phone: (317) 329-2219
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20041993 Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041993 Indiana

Profile Details

NPI number 1780638619
LBN Legal business name Backhaus, Sougandhi
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780638619 NPPES
Indiana MEDICAID 200285860

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