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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780638619 | NPPES |
Indiana | MEDICAID | 200285860 |
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