Individual
MRS. GWENDOLYN C DEHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 245-3920
(573) 232-5386
Mailing address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 245-3920
(573) 232-5386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34003375
IN
1041C0700X
Clinical Social Worker
Primary
34003375
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000018781300
BLUE CROSS BLUE SHIELD
IN
01
—
34003375
STATE LICENCE NUMBER
IN
Enumeration date
07/07/2005
Last updated
08/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us