Organization
BE TRANSFORMED, INC
Active
Other names
Dr. Barbara Critton-Green, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA CRITTON-GREEN PHD (PRESIDENT)
(219) 730-7773
Entity
Organization
Contact information
Practice address
6111 HARRISON STREET, SUITE 204, MERRILLVILLE, IN 46410-2972
(219) 730-7773
(219) 455-6231
Mailing address
6111 HARRISON STREET, SUITE 204, MERRILLVILLE, IN 46410-2972
(219) 730-7773
(219) 455-6231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034070C
—
IN
01
—
215920
MEDICARE PTIN
IN
Enumeration date
06/19/2012
Last updated
06/19/2012
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