Individual
DR. ANTHONY M. MCCROVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
621 BROADWAY, CHESTERTON, IN 46304-2259
(219) 921-5492
(219) 921-0143
Mailing address
1880 CATKIN CIRCLE, CHESTERTON, IN 46304
(219) 771-2940
(219) 921-0143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002197A
IN
103T00000X
Psychologist
Primary
20043441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110700
—
IN
Enumeration date
02/15/2011
Last updated
02/23/2021
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