Milder, Mary K

Milder, Mary K is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Milder, Mary K can be contacted via phone (317) 944-2353.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-2353
Fax: (317) 948-0509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20043316A Indiana
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 20043316A Indiana

Profile Details

NPI number 1407520356
LBN Legal business name Milder, Mary K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Mar 31st, 2022 - about 3 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 1407520356 NPPES
Indiana MEDICAID 300053583

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