Carpenter, Todd M

Carpenter, Todd M is an individual health care provider with primary practice located at 1606 N 7Th St , Terre Haute IN 47804-2706. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carpenter, Todd M can be contacted via phone (812) 238-7384.

Contact Information

Primary practice address
1606 N 7Th St Terre Haute IN 47804-2706
Phone: (812) 238-7384
Fax: (812) 238-7002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041251 Indiana

Profile Details

NPI number 1598725681
LBN Legal business name Carpenter, Todd M
Credentials PSYD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 3rd, 2012 - about 14 years ago

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 1598725681 NPPES
Indiana MEDICAID 200205490

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