DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Psychologist · CHURUBUSCO, IN

Registration Details

NPI Number
1417304320
Provider Type
Organization
NPI Issued
May 20, 2016 (9.9615965432362 yrs)
Last Updated
Jan 29, 2017
License
20042828A (IN)

Practice Information

Address
9309 E COMMERCE DR STE 2
CHURUBUSCO, IN, 467239557
Browse IN providers · Browse ZIP 46723
Phone
2602228288
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.