NPI 1134136229

Corby Alan Bubp, PHD

Practitioner Clinical Neuropsychologist Indianapolis, IN

Practice location

Address: 10293 N Meridian St, Indianapolis, IN 46290-1123
Phone: (317) 581-2288
Fax: (317) 581-2295
Mailing address: 10291 N Meridian St STE 310, Indianapolis, IN 46290-1083

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20042024 (IN)

Other Clinical Neuropsychologist providers in Indiana →

Registry record

NPI: 1134136229
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2006
Record last updated: 9 Dec 2019

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.