Organization
CLINICAL NEUROPSYCHOLOGY PC
Active
Other names
Psychological Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN W SIBILLA JR. PH.D. (OWNER)
(574) 232-4453
Entity
Organization
Contact information
Practice address
218 W WASHINGTON ST, SUITE 800, SOUTH BEND, IN 46601-1800
(574) 232-4453
(574) 232-7718
Mailing address
218 W WASHINGTON ST, SUITE 800, SOUTH BEND, IN 46601-1800
(574) 232-4453
(574) 232-7718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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