Individual
DIANE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1409 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 794-2000
(219) 794-2010
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1932
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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