Conley-Goldstein, Anne Katherine

Conley-Goldstein, Anne Katherine is an individual health care provider with primary practice located at 6655 E Us Highway 36 , Avon IN 46123-8923. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Conley-Goldstein, Anne Katherine can be contacted via phone (317) 272-3330.

Contact Information

Primary practice address
6655 E Us Highway 36 Avon IN 46123-8923
Phone: (317) 272-3330
Fax: (317) 272-0807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042060A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042060A Indiana

Profile Details

NPI number 1043282098
LBN Legal business name Conley-Goldstein, Anne Katherine
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Sep 8th, 2017 - about 7 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 1043282098 NPPES
Indiana MEDICAID 200813210

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