Individual
BARBARA S SEARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3603 E JEFFERSON BLVD, SUITEB, SOUTH BEND, IN 46615-3035
(574) 237-1003
(574) 237-1006
Mailing address
3603 E JEFFERSON BLVD, SUITE B, SOUTH BEND, IN 46615-3035
(574) 237-1003
(574) 237-1006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071006697
IL
103TC0700X
Clinical Psychologist
Primary
20041598A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402930A
—
IN
Enumeration date
12/26/2006
Last updated
01/21/2009
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