Rader-Wilson, Theresa Jane

Rader-Wilson, Theresa Jane is an individual health care provider with primary practice located at 8711 Us 31 S , Indianapolis IN 46227-6252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rader-Wilson, Theresa Jane can be contacted via phone (317) 887-7771.

Contact Information

Primary practice address
8711 Us 31 S Indianapolis IN 46227-6252
Phone: (317) 887-7771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20041299A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041299A Indiana

Profile Details

NPI number 1255401220
LBN Legal business name Rader-Wilson, Theresa Jane
Credentials PSYD HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Nov 27th, 2023 - about last year

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 1255401220 NPPES
Indiana MEDICAID 200389320

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