Olive Asbury, LMFT

Individual provider Active NPI Marriage & Family Therapist · Anderson, IN

NPI 1629360490 · NPPES record last updated Mar 11, 2014

Key facts

NPI
1629360490
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
35001798A (IN)
Practice address
2201 Hillcrest Dr
Anderson, IN 46012-4350
Phone
(317) 621-5719
Fax
(317) 621-6086
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
35001798AINMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 35001798A IN Yes

Addresses

Primary practice location

2201 Hillcrest Dr
Anderson, IN 46012-4350

Mailing address

6626 E 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561

Other providers in Anderson, IN

All providers in Anderson, IN · Marriage & Family Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.