North Star Services, Llc

NPI 1053630087 - Psychologist - 103T00000X

NPI Details
NPI 1053630087
Enumeration Date 06/01/2010
Last Updated 06/01/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KELLY KELLY
Position MEMBER
Phone (219) 322-9904
Fax (219) 322-9956
Practice Location
425 JOLIET ST
SUITE 309
DYER IN, 46311-1765, US
Phone (219) 322-9904
Fax (219) 322-9956
Business Location
425 JOLIET ST
SUITE 309
DYER IN, 46311-1765, US
Phone (219) 322-9904
Fax (219) 322-9956
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, North Star Services, Llc NPI is 1053630087, taxonomy code is 103T00000X North Star Services, Llc physically located at 425 Joliet St, Dyer IN, 46311-1765. NPI Number 1033115704 has the healthcare provider type.

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1053630087 NPI number is provided on an as is basis without warranty of any kind. 1053630087 is maintained by the National Plan & Provider Enumeration System. The contents of North Star Services, Llc are for informational purposes only.