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Individual

DR. BARRY M SHEAR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383
(219) 464-1089
(219) 464-7234
Mailing address
2004 VALPARAISO ST, VALPARAISO, IN 46383
(219) 464-1089
(219) 464-7234

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040363
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198437
ANTHEM
IN
01
0605000000
MAGELLAN
IN
Enumeration date
03/30/2006
Last updated
07/08/2007
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