| Psych Consults | |
|
316 Lincolnway La Porte IN 46350-2413 | |
| (219) 898-5645 | |
| (219) 325-0855 |
| Full Name | Psych Consults |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 316 Lincolnway, La Porte, Indiana |
| Authorized Official Name and Position | Thomas Michael Allen (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2198985645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Consults 316 Lincolnway La Porte IN 46350-2413 Ph: (219) 898-5645 | Psych Consults 316 Lincolnway La Porte IN 46350-2413 Ph: (219) 898-5645 |
| NPI Number | 1174899488 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174899488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042166A (Indiana) | Primary |
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