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Illiana Psychiatric Associates
Prescribing (Medical) Psychologist in East Chicago, Indiana
NPI 1932441631

Illiana Psychiatric Associates is a Prescribing (Medical) Psychologist based in East Chicago, IN and is specialized in Prescribing (Medical). Illiana Psychiatric Associates practices in East Chicago, IN. The NPI Number for Illiana Psychiatric Associates is 1932441631 and holds a License No. 1038685 (Indiana).

The current practice location address for Illiana Psychiatric Associates is 2010 E Columbus Dr, East Chicago, IN and can be reached out via phone at 219-397-6369.

Location: 2010 E Columbus Dr, East Chicago, IN, 46312-3052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932441631
Provider Name
Illiana Psychiatric Associates
Credential
Provider Entity Type
Organization
Address
2010 E Columbus Dr, East Chicago, IN, 46312-3052
Phone Number
219-397-6369
Fax Number
Provider Enumeration Date
03/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100325130 05 IN
institution
Provider Business Practice Location Address Details
Address
2010 E Columbus Dr
City
East Chicago
State
Indiana
Zip
46312-2830
Phone Number
219-397-6369
Fax Number
person
Provider Business Mailing Address Details
Address
2010 E Columbus Dr
City
East Chicago
State
Indiana
Zip
46312-2830
Phone Number
219-397-6369
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1038685 (Indiana)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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