Anps-in Llc | |
908 Roosevelt Rd Suite K Valparaiso IN 46383-4375 | |
(219) 462-0246 | |
(219) 462-5032 |
Full Name | Anps-in Llc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 908 Roosevelt Rd, Valparaiso, Indiana |
Authorized Official Name and Position | Judith Degrazia Harrington (NEUROPSYCHOLOGIST) |
Authorized Official Contact | 7026500590 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anps-in Llc 908 Roosevelt Rd Suite K Valparaiso IN 46383-4375 Ph: (219) 462-0246 | Anps-in Llc 908 Roosevelt Rd Suite K Valparaiso IN 46383-4375 Ph: (219) 462-0246 |
NPI Number | 1285865378 |
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Provider Enumeration Date | 08/06/2009 |
Last Update Date | 08/10/2009 |
Medicare PECOS PAC ID | 6103971676 |
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Medicare Enrollment ID | O20090910000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285865378 | NPI | - | NPPES |
1245356112 | Other | IN | PERSONAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 20042329A (Indiana) | Primary |
Provider Name | Judith D Harrington |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245356112 PECOS PAC ID: 9032299185 Enrollment ID: I20090910000106 |
Provider Name | Jamie L Rehmel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124484977 PECOS PAC ID: 8729342274 Enrollment ID: I20180509000041 |
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