NPI 1023760725

Early Impact LLC

Organisation Child & Adolescent Psychiatry Physician Indianapolis, IN

Practice location

Address: 4243 Stubbington Ln, Indianapolis, IN 46239-1597
Phone: (317) 319-7622

Authorised official

Name: Ryan Hall
Title: Owner
Phone: (317) 319-7622

Registered specialties (3)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Other Psychiatry & Neurology providers in Indiana →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023760725
Entity type: Organization
NPI issued: 24 Jan 2022
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.