Provider First Line Business Practice Location Address:
INDIANA STATE UNIVERSITY PSYCHOLOGY CLINIC
Provider Second Line Business Practice Location Address:
200 N. 7TH ST.
Provider Business Practice Location Address City Name:
TERRE HAUTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47809-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-237-3317
Provider Business Practice Location Address Fax Number:
812-237-8595
Provider Enumeration Date:
02/01/2007