| Shetler Psychological Services Pc | |
|
1930 W Lincoln Ave Goshen IN 46526-5907 | |
| (574) 534-2161 | |
| (574) 534-3887 |
| Full Name | Shetler Psychological Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1930 W Lincoln Ave, Goshen, Indiana |
| Authorized Official Name and Position | Jay Ranell Shetler (OWNER) |
| Authorized Official Contact | 5745342161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shetler Psychological Services Pc 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 | Shetler Psychological Services Pc 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 |
| NPI Number | 1730261835 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730261835 | NPI | - | NPPES |
| 200270630A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041401A (Indiana) | Primary |
Change Architects Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carly Lantz Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 S 3rd St, Goshen, IN 46526 Phone: 574-538-7960 | |
Lauren Boyle Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Wade Psychological Services Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Shirley Claassen Dick Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 | |
Jennifer Miller Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carrie Sommer Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |