Joy Care | |
304 1/2 Detroit Street La Porte IN 46350 | |
(219) 781-7198 | |
(421) 976-3779 |
Full Name | Joy Care |
---|---|
Speciality | Psychologist |
Location | 304 1/2 Detroit Street, La Porte, Indiana |
Authorized Official Name and Position | Joyce Scully (PSYCHOLOGY) |
Authorized Official Contact | 2197817198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joy Care 78 Ski Hill Road Portage IN 46368 Ph: (219) 763-6821 | Joy Care 304 1/2 Detroit Street La Porte IN 46350 Ph: (219) 781-7198 |
NPI Number | 1164689162 |
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Provider Enumeration Date | 05/19/2008 |
Last Update Date | 05/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164689162 | NPI | - | NPPES |
100367640B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20040615 (Indiana) | Primary |
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