| Psychological Health Center | |
|
218 W Washington St Suite 800 South Bend IN 46601-1800 | |
| (574) 232-4453 | |
| (574) 232-7718 |
| Full Name | Psychological Health Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 218 W Washington St, South Bend, Indiana |
| Authorized Official Name and Position | Warren W Sibilla (OWNER) |
| Authorized Official Contact | 5742324453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Center 218 W Washington St Suite 800 South Bend IN 46601-1800 Ph: (574) 232-4453 | Psychological Health Center 218 W Washington St Suite 800 South Bend IN 46601-1800 Ph: (574) 232-4453 |
| NPI Number | 1689058414 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689058414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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