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Shifting Tides, Llc
Clinical Psychologist in Portage, Indiana
NPI 1194965392

Shifting Tides, Llc is a Clinical Psychologist based in Portage, IN and is specialized in Clinical. Shifting Tides, Llc practices in Portage, IN. The NPI Number for Shifting Tides, Llc is 1194965392 and holds a License No. 20042029A (Indiana).

The current practice location address for Shifting Tides, Llc is 6337 Central Ave, Portage, IN and can be reached out via phone at 219-763-1499 and via fax at 219-764-7025.

Location: 6337 Central Ave, Portage, IN, 46368-3801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194965392
Provider Name
Shifting Tides, Llc
Credential
Provider Entity Type
Organization
Address
6337 Central Ave, Portage, IN, 46368-3801
Phone Number
219-763-1499
Fax Number
219-764-7025
Provider Enumeration Date
02/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200538700B 05 IN
institution
Provider Business Practice Location Address Details
Address
6337 Central Ave
City
Portage
State
Indiana
Zip
46368-3801
Phone Number
219-763-1499
Fax Number
219-764-7025
person
Provider Business Mailing Address Details
Address
6337 Central Ave
City
Portage
State
Indiana
Zip
46368-3801
Phone Number
219-763-1499
Fax Number
219-764-7025
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20042029A (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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