| Family Psychology Of South Bend Llc | |
|
922 E Wayne St Ste 205 South Bend IN 46617-3024 | |
| (574) 280-8199 | |
| Not Available |
| Full Name | Family Psychology Of South Bend Llc |
|---|---|
| Speciality | Psychologist - Family |
| Location | 922 E Wayne St Ste 205, South Bend, Indiana |
| Authorized Official Name and Position | John Anthony Petersen (MANAGER) |
| Authorized Official Contact | 5742808199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychology Of South Bend Llc 922 E Wayne St Ste 205 South Bend IN 46617-3024 Ph: (574) 280-8199 | Family Psychology Of South Bend Llc 922 E Wayne St Ste 205 South Bend IN 46617-3024 Ph: (574) 280-8199 |
| NPI Number | 1083184196 |
|---|---|
| Provider Enumeration Date | 12/01/2018 |
| Last Update Date | 12/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083184196 | NPI | - | NPPES |
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