Organization
LIVING WELL BEHAVIORAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN NEUFELD PH.D. (PRESIDENT)
(574) 534-6150
Entity
Organization
Contact information
Practice address
1908 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-6150
(574) 534-8139
Mailing address
1908 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-6150
(574) 534-8139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804500A
—
IN
05
—
200888680
—
IN
Enumeration date
09/15/2006
Last updated
08/27/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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