| NPI | 1447923321 |
|---|---|
| Doing Business As | SUPERPSYCHED LLC |
| Entity Type | Organization |
| Authorized Contact | CHARMANIKA MOSLEY Chief Executive Officer / Sole Owne 219-750-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225200000X Physical Therapy Assistant | |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 103T00000X Psychologist | |
| 224Z00000X Occupational Therapy Assistant | |
| 224ZE0001X Occupational Therapy Assistant, Environmental Modification | |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-03-10 |