Organization
CLINICAL PSYCHOLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L. SCHULTZ PH.D. (PRESIDENT)
(219) 462-4770
Entity
Organization
Contact information
Practice address
15 N FRANKLIN ST, SUITE 230, VALPARAISO, IN 46383
(219) 462-4770
(219) 464-8156
Mailing address
15 N FRANKLIN ST, SUITE 230, VALPARAISO, IN 46383
(219) 462-4770
(219) 464-8156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20010329A
IN
103TC0700X
Clinical Psychologist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023980
—
IN
Enumeration date
10/05/2006
Last updated
07/01/2011
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