Individual
DR. ASHLYN PYFER KNESEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD HSPP
Contact information
Practice address
900 RIDGE RD, SUITE F, MUNSTER, IN 46321-1726
(219) 228-7630
(219) 228-1083
Mailing address
900 RIDGE RD, SUITE F, MUNSTER, IN 46321-1726
(219) 228-7630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042885A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M100047140
MEDICARE GROUP ID
IN
Enumeration date
09/10/2009
Last updated
02/13/2017
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