Provider Demographics
NPI:1508929654
Name:HESS, PHILIP ARTHUR (MS LSCW LMFT CEAP CA)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:ARTHUR
Last Name:HESS
Suffix:
Gender:M
Credentials:MS LSCW LMFT CEAP CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N ALABAMA ST
Mailing Address - Street 2:STE 320
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204
Mailing Address - Country:US
Mailing Address - Phone:317-634-5362
Mailing Address - Fax:
Practice Address - Street 1:303 N ALABAMA ST
Practice Address - Street 2:STE 320
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204
Practice Address - Country:US
Practice Address - Phone:317-634-5362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002770A1041C0700X
IN35000529A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist