Individual
DR. JOHN ALEXANDER ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1401 S WOODLAND AVE STE 3, MICHIGAN CITY, IN 46360-7189
(219) 877-4954
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042094A
IN
Other
Enumeration date
12/02/2006
Last updated
02/26/2019
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