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Trinity Faith-based University
Health Service Psychologist in Gary, Indiana
NPI 1124436936

Trinity Faith-based University is a Health Service Psychologist based in Gary, IN and is specialized in Health Service. Trinity Faith-based University practices in Gary, IN. The NPI Number for Trinity Faith-based University is 1124436936 and holds a License No. 20041768A (Indiana).

The current practice location address for Trinity Faith-based University is 839 Broadway, Gary, IN and can be reached out via phone at 219-882-4010 and via fax at 219-882-0210. You can also correspond with Trinity Faith-based University through the mailing address at 839 BROADWAY, GARY, IN - 46402-2414 (mailing address contact number: 219-882-4010).

Location: 839 Broadway, Gary, IN, 46402-2414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124436936
Provider Name
Trinity Faith-based University
Credential
Provider Entity Type
Organization
Address
839 Broadway, Gary, IN, 46402-2414
Phone Number
219-882-4010
Fax Number
219-882-0210
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
839 Broadway
City
Gary
State
Indiana
Zip
46402-2414
Phone Number
219-882-4010
Fax Number
219-882-0210
person
Provider Business Mailing Address Details
Address
839 Broadway
City
Gary
State
Indiana
Zip
46402-2414
Phone Number
219-882-4010
Fax Number
219-882-0210
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
20041768A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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