| Heartland Clinic, Inc. | |
|
2201 Ferry St Lafayette IN 47904-3047 | |
| (765) 446-9898 | |
| (765) 446-9424 |
| Full Name | Heartland Clinic, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2201 Ferry St, Lafayette, Indiana |
| Authorized Official Name and Position | Dennis Wayne Edwards (PRESIDENT) |
| Authorized Official Contact | 7654469898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Clinic, Inc. 2201 Ferry St Lafayette IN 47904-3047 Ph: (765) 446-9898 | Heartland Clinic, Inc. 2201 Ferry St Lafayette IN 47904-3047 Ph: (765) 446-9898 |
| NPI Number | 1316990880 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316990880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 35001121A (Indiana) | Primary |
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