| Julia Crumrine Phd Clinical Psychologist Llc | |
|
970 Millpond Rd Ste C Valparaiso IN 46385-6273 | |
| (219) 707-8515 | |
| (219) 386-2253 |
| Full Name | Julia Crumrine Phd Clinical Psychologist Llc |
|---|---|
| Speciality | Psychologist |
| Location | 970 Millpond Rd Ste C, Valparaiso, Indiana |
| Authorized Official Name and Position | Julia Marie Nicholson Crumrine (OWNER) |
| Authorized Official Contact | 2197078515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Crumrine Phd Clinical Psychologist Llc 970 Millpond Rd Ste C Valparaiso IN 46385-6273 Ph: (219) 707-8515 | Julia Crumrine Phd Clinical Psychologist Llc 970 Millpond Rd Ste C Valparaiso IN 46385-6273 Ph: (219) 707-8515 |
| NPI Number | 1821859729 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 4789021494 |
|---|---|
| Medicare Enrollment ID | O20240318001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821859729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julia M Crumrine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932100484 PECOS PAC ID: 6002873445 Enrollment ID: I20041216000732 |
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