C.l.o. Psychological, Serv. | |
925 Killarney Dr Dyer IN 46311-1292 | |
(773) 618-2231 | |
Not Available |
Full Name | C.l.o. Psychological, Serv. |
---|---|
Speciality | Community/behavioral Health |
Location | 925 Killarney Dr, Dyer, Indiana |
Authorized Official Name and Position | Carolyn Louise Owens (CLINICAL PSYCHOLOGIST/PRESIDENT) |
Authorized Official Contact | 7736182231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C.l.o. Psychological, Serv. 925 Killarney Dr Dyer IN 46311-1292 Ph: (773) 618-2231 | C.l.o. Psychological, Serv. 925 Killarney Dr Dyer IN 46311-1292 Ph: (773) 618-2231 |
NPI Number | 1447629142 |
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Provider Enumeration Date | 09/23/2015 |
Last Update Date | 09/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447629142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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