Ishanpara, Poonam

Ishanpara, Poonam is an individual health care provider with primary practice located at 6845 E Us Highway 36 Ste 500 , Avon IN 46123-9781. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ishanpara, Poonam can be contacted via phone (813) 289-6597.

Contact Information

Primary practice address
6845 E Us Highway 36 Ste 500 Avon IN 46123-9781
Phone: (813) 289-6597
Fax: (813) 289-6592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9504 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042843A Indiana
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 20042843A Indiana

Profile Details

NPI number 1245629096
LBN Legal business name Ishanpara, Poonam
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2015
Last updated May 20th, 2022 - about 2 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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