Individual
DR. HEIDI JO KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
2955 MCKINLEY AVE, SUITE C, SOUTH BEND, IN 46615-2733
(574) 222-2466
(574) 222-2468
Mailing address
2955 MCKINLEY AVE, SUITEC, SOUTH BEND, IN 46615-2733
(574) 222-2466
(574) 222-2468
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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