Provider Demographics
NPI:1598074999
Name:MAJOR, WAYNE P
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:P
Last Name:MAJOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5404 PELHAM WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-2095
Mailing Address - Country:US
Mailing Address - Phone:317-547-1920
Mailing Address - Fax:317-547-1920
Practice Address - Street 1:5404 PELHAM WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2095
Practice Address - Country:US
Practice Address - Phone:317-547-1920
Practice Address - Fax:317-547-1920
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health