| NPI | 1144640582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CHIK Clinical Psychologist/Director 219-228-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042623A) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |