Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME ELMER MODLIK
ActiveJEROME ELMER MODLIK is a Psychologist healthcare provider located in INDIANAPOLIS, Indiana. NPI 1174787436 is currently active in the NPPES registry. Verify at CMS.
Psychologist · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1174787436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2008 (18.113007444836 yrs)
- Last Updated
- Jul 16, 2008
- Licenses
-
20040316A (IN)20040316A (IN)
Practice Information
- Address
-
8102 CLEARVISTA PKWYINDIANAPOLIS, IN, 462561661Browse IN providers · Browse ZIP 46256
- Phone
- 3178498222
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
Other Psychologist Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICK A WAGNER | PHD | 1902804446 |
| DR. DAVID MARSH BUCKINGHAM | PHD, HSPP | 1811996945 |
| DR. CATHERINE ELIZABETH BUCKINGHAM | PHD HSPP | 1528054012 |
| DR. SARAH J NORRIS | PHD | 1679554802 |
| DR. KIMBERLY ANN DUFFEY | PHD | 1609858901 |
| DENNIS RAY KINDER | PHD HSPP | 1245281963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.