Individual
CEOLA DIGBY-BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD. HSPP
Contact information
Practice address
3111 W JACKSON ST, MUNCIE, IN 47304-4371
(765) 284-0879
(765) 284-1480
Mailing address
3111 W JACKSON ST, MUNCIE, IN 47304-4371
(765) 284-0879
(765) 284-1480
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20040153A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186182
ANTHEM BCBS
IN
05
—
100333710
—
IN
01
—
163150000
MAGELLAN
IN
Enumeration date
08/15/2006
Last updated
05/13/2009
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