Organization
ANPS-IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH DEGRAZIA HARRINGTON PHD. (NEUROPSYCHOLOGIST)
(702) 650-0590
Entity
Organization
Contact information
Practice address
908 ROOSEVELT RD, SUITE K, VALPARAISO, IN 46383-4375
(219) 462-0246
(219) 462-5032
Mailing address
908 ROOSEVELT RD, SUITE K, VALPARAISO, IN 46383-4375
(219) 462-0246
(219) 462-5032
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245356112
PERSONAL NPI NUMBER
IN
Enumeration date
08/06/2009
Last updated
08/10/2009
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