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Dr. David John Botkin, PHD
Clinical Psychologist in South Bend, Indiana
NPI 1487692620

David John Botkin is a Clinical Psychologist based in South Bend, IN and is specialized in Clinical. David John Botkin practices in South Bend, IN and has the professional credentials of PHD. The NPI Number for David John Botkin is 1487692620 and holds a License No. 20040017 (Indiana).

The current practice location address for David John Botkin is 227 N Dixie Way Ste 240, South Bend, IN and can be reached out via phone at 574-288-1333. You can also correspond with David John Botkin through the mailing address at 227 N DIXIE WAY STE 240, SOUTH BEND, IN - 46637-3300 (mailing address contact number: ).

Location: 227 N Dixie Way Ste 240, South Bend, IN, 46637-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487692620
Provider Name
David John Botkin
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
227 N Dixie Way Ste 240, South Bend, IN, 46637-3300
Phone Number
574-288-1333
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000175977 01 IN LOCAL BC/BS ID
100092140A 05 IN
institution
Provider Business Practice Location Address Details
Address
227 N Dixie Way Ste 240
City
South Bend
State
Indiana
Zip
46637-3300
Phone Number
574-288-1333
Fax Number
person
Provider Business Mailing Address Details
Address
227 N Dixie Way Ste 240
City
South Bend
State
Indiana
Zip
46637-3300
Phone Number
574-288-1333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20040017 (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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