| NPI | 1275613341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY H. LINK President 219-324-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041588A) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IN 20041588A) |
| 103TF0000X Psychologist Family (Licence: IN 20041588A) | |
| 103TF0200X Psychologist Forensic (Licence: IN 20041588A) | |
| 103T00000X Psychologist (Licence: IN 20041588A) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IN 20041588A) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-10-08 |