Provider Demographics
NPI:1083090203
Name:PRATT, CARA (PSYD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6249 S EAST ST STE I
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-2089
Mailing Address - Country:US
Mailing Address - Phone:317-780-1610
Mailing Address - Fax:317-780-5755
Practice Address - Street 1:6249 S EAST ST STE I
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2089
Practice Address - Country:US
Practice Address - Phone:317-780-1610
Practice Address - Fax:317-780-5755
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043066A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist