| Chs Child Psychiatry | |
|
205 N Tillotson Ave Muncie IN 47304-3900 | |
| (765) 751-3173 | |
| Not Available |
| Full Name | Chs Child Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 205 N Tillotson Ave, Muncie, Indiana |
| Authorized Official Name and Position | Linda Hawkins (BILLING MANAGER) |
| Authorized Official Contact | 7657513152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chs Child Psychiatry 3711 S Madison St Muncie IN 47302-5756 Ph: (765) 751-3150 | Chs Child Psychiatry 205 N Tillotson Ave Muncie IN 47304-3900 Ph: (765) 751-3173 |
| NPI Number | 1588731889 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588731889 | NPI | - | NPPES |
| 200237850 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 01050577 (Indiana) | Primary |
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