| Psychological & Social Services | |
|
518 E 86th Ave Merrillville IN 46410-6213 | |
| (219) 736-5149 | |
| (219) 736-5670 |
| Full Name | Psychological & Social Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 518 E 86th Ave, Merrillville, Indiana |
| Authorized Official Name and Position | Raymond R Bucur (PRESIDENT) |
| Authorized Official Contact | 2197365149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological & Social Services 518 E 86th Ave Merrillville IN 46410-6213 Ph: (219) 736-5149 | Psychological & Social Services 518 E 86th Ave Merrillville IN 46410-6213 Ph: (219) 736-5149 |
| NPI Number | 1699928507 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699928507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20090126 (Indiana) | Primary |
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