| Clinical Psychology Associates, Pc | |
|
9111 Broadway Suite Q Merrillville IN 46410 | |
| (219) 736-0003 | |
| (219) 756-2315 |
| Full Name | Clinical Psychology Associates, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9111 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Kathleen M Pueschel (PRESIDENT) |
| Authorized Official Contact | 2197360003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychology Associates, Pc Po Box 10126 Merrillville IN 46411-0126 Ph: (219) 736-0003 | Clinical Psychology Associates, Pc 9111 Broadway Suite Q Merrillville IN 46410 Ph: (219) 736-0003 |
| NPI Number | 1396824694 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 12/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396824694 | NPI | - | NPPES |
| 100389940A | Medicaid | IN | |
| 100389940 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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