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Organization

LINK PSYCHOLOGICAL & CONSULTING SERV

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY H. LINK PSY.D. (PRESIDENT)
(219) 324-7063
Entity
Organization

Contact information

Practice address
900 I STREET, LA PORTE, IN 46350-5533
(219) 324-7063
(219) 362-1962
Mailing address
213 FARMWOOD DRIVE, LA PORTE, IN 46350-1905
(219) 324-7063
(219) 362-1962

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
20041588A
IN
103TC0700X
Clinical Psychologist
Primary
20041588A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20041588A
IN
103TF0000X
Family Psychologist
20041588A
IN
103TF0200X
Forensic Psychologist
20041588A
IN
103TP2701X
Group Psychotherapy Psychologist
20041588A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200297340 A
IN
05
200297340A
IN
Enumeration date
10/16/2006
Last updated
10/08/2009
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