Corinthian Christian Center | |
667 Van Buren St Gary IN 46402-2240 | |
(219) 885-5819 | |
(219) 661-8892 |
Full Name | Corinthian Christian Center |
---|---|
Speciality | Psychologist |
Location | 667 Van Buren St, Gary, Indiana |
Authorized Official Name and Position | Jan Gold (OFFICE MANAGER) |
Authorized Official Contact | 2196622224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Corinthian Christian Center Po Box 9135 Gary IN 46402-9135 Ph: (219) 885-5819 | Corinthian Christian Center 667 Van Buren St Gary IN 46402-2240 Ph: (219) 885-5819 |
NPI Number | 1679623235 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679623235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20040617A (Indiana) | Primary |
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