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2020 S Memorial Dr Suite I New Castle IN 47362-1272 | |
| (765) 465-3387 | |
| (888) 441-0850 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2020 S Memorial Dr, New Castle, Indiana |
| Authorized Official Name and Position | Erica D Kane (OWNER) |
| Authorized Official Contact | 7653882671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3900 S Memorial Dr Ste A New Castle IN 47362-1307 Ph: (765) 388-2671 | 2020 S Memorial Dr Suite I New Castle IN 47362-1272 Ph: (765) 465-3387 |
| NPI Number | 1275929903 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 08/10/2016 |
| Medicare PECOS PAC ID | 0446546329 |
|---|---|
| Medicare Enrollment ID | O20160831002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275929903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | 20042765A (Indiana) | Primary |
| Provider Name | Erica D Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760803100 PECOS PAC ID: 0446571558 Enrollment ID: I20150601002841 |
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