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209 S Peru St Suite 210-211 Cicero IN 46034-9687 | |
| (317) 984-5939 | |
| (317) 984-2465 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 209 S Peru St, Cicero, Indiana |
| Authorized Official Name and Position | Nancy Leah Shirley (PRESIDENT) |
| Authorized Official Contact | 3179845939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
209 S Peru St Suite 210-211 Cicero IN 46034-9687 Ph: (317) 984-5939 | 209 S Peru St Suite 210-211 Cicero IN 46034-9687 Ph: (317) 984-5939 |
| NPI Number | 1114103728 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114103728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Perceptive Psychological Services, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 Dahlgren Ln, Cicero, IN 46034 Phone: 317-606-6638 |