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Individual

JAMES M BOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1924
(219) 757-1950
Mailing address
1348 S LAKE PARK AVE, HOBART, IN 46342-5964
(219) 942-4040
(219) 736-9131

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042139A
IN

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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