Hammond Care From The Heart Social Services, Llc. | |
534 Conkey St 2nd Floor Hammond IN 46324-1100 | |
(219) 933-7111 | |
(219) 933-6657 |
Full Name | Hammond Care From The Heart Social Services, Llc. |
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Speciality | Psychologist - Clinical |
Location | 534 Conkey St, Hammond, Indiana |
Authorized Official Name and Position | Deborah A. Richard (VICE PRESIDENT) |
Authorized Official Contact | 2199337111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hammond Care From The Heart Social Services, Llc. 534 Conkey St Hammond IN 46324-1100 Ph: (219) 933-7111 | Hammond Care From The Heart Social Services, Llc. 534 Conkey St 2nd Floor Hammond IN 46324-1100 Ph: (219) 933-7111 |
NPI Number | 1174562532 |
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Provider Enumeration Date | 06/04/2006 |
Last Update Date | 02/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174562532 | NPI | - | NPPES |
200440490A | Other | IN | PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 01194049310012 (Indiana) | Primary |
251B00000X | Case Management | 01194049310012 (Indiana) | Secondary |
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