Individual
NICHOLAS JAMES CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8315 VIRGINIA ST, SUITE H, MERRILLVILLE, IN 46410-9201
(219) 736-7320
Mailing address
8315 VIRGINIA ST, SUITE H, MERRILLVILLE, IN 46410-9201
(219) 736-7320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041975A
IN
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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