Dr Craig Allan Nordstrom, PSYD, HSPP is a
Psychologist - Clinical based in Beverly Shores, Indiana. Dr Craig Allan Nordstrom is licensed to practice in Indiana (license number 20041303A) and his current practice location is
111 E Clearwater Ave, Beverly Shores, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 628-3650.
NPI number for Dr Craig Allan Nordstrom is 1154942340 and his current mailing address is Po Box 2344, Portage, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154942340.
Healthcare Provider's Profile
| Full Name | Dr Craig Allan Nordstrom |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 111 E Clearwater Ave, Beverly Shores, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154942340
- Provider Enumeration Date: 04/29/2020
- Last Update Date: 04/29/2020
Medical Identifiers
Medical identifiers for Dr Craig Allan Nordstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154942340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 20041303A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig Allan Nordstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Craig Allan Nordstrom, PSYD, HSPP
Po Box 2344,
Portage, IN 46368-5844
Ph: (219) 628-3650 | Dr Craig Allan Nordstrom, PSYD, HSPP
111 E Clearwater Ave,
Beverly Shores, IN 46301-0056
Ph: (219) 628-3650 |
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