NPI 1013233584

Michele Koselke, PSYDHSPP

Practitioner Psychologist Bloomington, IN

Practice location

Address: 205 N College Ave STE 312, Bloomington, IN 47404-3953
Phone: (317) 941-3258
Fax: (317) 534-3677
Mailing address: 1781 Spring Beauty Dr, Avon, IN 46123-8441

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 20042414A (IN)

Other Psychologist providers in Indiana →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20042414A (IN)

Registry record

NPI: 1013233584
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2010
Record last updated: 9 Sep 2020

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.