BRANNON WALSMITH HART HSPP - NPI 1750885505 - Psychologist in Indianapolis, IN

Q: What is Brannon Hart's NPI number?

The NPI number for Brannon Hart is 1750885505. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is Brannon Hart's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Brannon Hart was last updated on March 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brannon Walsmith Hart Hspp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANNON WALSMITH HART HSPP (NPI 1750885505) is an individual health service provider in Indianapolis, Indiana, licensed in Indiana (20043107A) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1750885505

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NameBRANNON WALSMITH HARTCredential: HSPP

Location Address5317 E 16TH STIndianapolis, IN 46218-4897

Mailing Address1503 N Mitthoeffer RdIndianapolis, IN 46229-2425 · (317) 934-0800 · Fax (317) 355-6150

Phone(317) 355-3700

Fax(317) 355-7793

Sole ProprietorNo

Enumeration DateMarch 19, 2018

✔ NPI 1750885505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in IN · 20043107A

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

5317 E 16TH ST, Indianapolis, IN 46218

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