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Organization
SUPERPSYCHED, LLC
Active
Organization
SUPERPSYCHED, LLC
Active
Other names
SUPERPSYCHED LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMANIKA MOSLEY (CHIEF EXECUTIVE OFFICER / SOLE OWNE)
(219) 750-9600
Entity
Organization
Contact information
Practice address
8690 BROADWAY STE A, MERRILLVILLE, IN 46410-7034
(219) 315-9700
Mailing address
2059 GOVERT DR, SCHERERVILLE, IN 46375-5126
(708) 679-4349
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XH1300X
Human Factors Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
03/10/2022
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