NPI 1336440122

Professional Development Associates, LLC

Organisation Geriatric Psychiatry Physician Carmel, IN

Practice location

Address: 1776 Summerlakes CT, Carmel, IN 46032-9679
Phone: (888) 822-9732
Fax: (888) 822-9732

Authorised official

Name: John J. Wernert
Title: President
Phone: (317) 445-5016

Registered specialties

Geriatric Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0805X Licence 01035237A (IN)

Other Psychiatry & Neurology providers in Indiana →

Registry record

NPI: 1336440122
Entity type: Organization
NPI issued: 9 Nov 2010
Record last updated: 9 Nov 2010

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.