Ishanpara, Poonam
Ishanpara, Poonam is an individual health care provider with primary practice located at 6845 E Us Highway 36 Ste 500 , Avon IN 46123-9781. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ishanpara, Poonam can be contacted via phone (813) 289-6597.Contact Information
Primary practice address
6845 E Us Highway 36 Ste 500
Avon IN 46123-9781
Phone: (813) 289-6597
Fax: (813) 289-6592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY9504 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042843A | Indiana |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 20042843A | Indiana |
Profile Details
| NPI number | 1245629096 |
|---|---|
| LBN Legal business name | Ishanpara, Poonam |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2015 |
| Last updated | May 20th, 2022 - about 4 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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