Individual
LAURA IRENE BERNACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D, HSPP
Contact information
Practice address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1939
(219) 757-1950
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1939
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20042411A
IN
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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