Individual
DOUGLAS W CARUANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
9111 BROADWAY, SUITE Q, MERRILLVILLE, IN 46410
(219) 736-0003
(219) 756-2315
Mailing address
9111 BROADWAY, SUITE Q, MERRILLVILLE, IN 46410
(219) 736-0003
(219) 756-2315
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040106A
IN
103TC0700X
Clinical Psychologist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176448
ANTHEM
IN
Enumeration date
10/12/2006
Last updated
07/08/2007
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