Provider Demographics
NPI:1780283879
Name:CADENCE PSYCHOLOGY STUDIO
Entity type:Organization
Organization Name:CADENCE PSYCHOLOGY STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICAH
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:WALKER HERCHE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-747-0574
Mailing Address - Street 1:12550 CORDAY CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1213
Mailing Address - Country:US
Mailing Address - Phone:317-747-0574
Mailing Address - Fax:
Practice Address - Street 1:9465 COUNSELORS ROW STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3817
Practice Address - Country:US
Practice Address - Phone:317-747-0574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty