Theresa Jane Rader-Wilson
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
8711 Us 31 S
Indianapolis
, Indiana 46227-6252
Theresa Jane Rader-Wilson
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
8711 Us 31 S
Indianapolis
, Indiana 46227-6252
(317) 355-6096
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Theresa Jane Rader-Wilson
- 6626 E 75th Street Ste 500
- Indianapolis, IN
- Zip : 46250-2890
- Fax : (317) 355-6096
- Phone : (317) 621-7561
Second Address
- Theresa Jane Rader-Wilson
- 8711 Us 31 S
- Indianapolis, IN
- Zip : 46227-6252
- Phone : (317) 887-7771
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What type of doctor is Theresa Jane Rader-Wilson
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Is Theresa Jane Rader-Wilson a sole practitioner?
Is Theresa Jane Rader-Wilson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 20041299A | IN |
| Y | 103G00000X | Clinical Psychologist | 20041299A | IN |
| Y | 103TC0700X | Clinical Psychologist | 20041299A | IN |
National Provider Identifier
| NPI | 1255401220 |
|---|---|
| Provider Name | Theresa Jane Rader-Wilson |
| First Address | Indianapolis, IN 46250-2890 |
| Second Address | Indianapolis, IN 46227-6252 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2006 |
| Last Update Date | 03/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200389320 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.