Individual
DR. CRAIG ALLAN NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, HSPP
Contact information
Practice address
111 E CLEARWATER AVE, BEVERLY SHORES, IN 46301-0056
(219) 628-3650
(844) 364-4603
Mailing address
PO BOX 2344, PORTAGE, IN 46368-5844
(219) 628-3650
(844) 364-4603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041303A
IN
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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