Taryn Wanninger's National Provider Identifier (NPI) Details
Taryn Wanninger, LCSW
NPI: 1295389559
Enumeration Date: 2019-07-25
Last updated: 2019-07-25
Sole Proprietor: NO
Status: active
Postal Address: 6626 E 75TH ST STE 500, INDIANAPOLIS, IN
Phone:
Primary Practice Address: 1525 N RITTER AVE, INDIANAPOLIS, IN
Practice's phone: 317-359-5467