IndividualActive
Corby Bubp, PH.D.
NPI 1134136229 · Clinical Neuropsychologist · Indianapolis, IN
Provider details
- NPI number
- 1134136229
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 20042024 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10293 N Meridian St
Indianapolis, IN 46290-1123
Phone: (317) 581-2288
Fax: (317) 581-2295
Approximate (ZIP-level) locationGet directions
Mailing address
10291 N Meridian St
Indianapolis, IN 46290-1083
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.