Clinical Neuropsychology PC

NPI #1689058414 in South Bend, Indiana

Provider Information

NPI Number: 1689058414
Entity Type: Organization
Organization Name: Clinical Neuropsychology PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 10, 2015
Last Updated: Jul 10, 2015

Practice Location

Address: 218 W WASHINGTON ST
Address 2: SUITE 800
City: South Bend
State: Indiana
ZIP Code: 46601-1800
Phone: (574) 232-4453

Authorized Official

Name: DR. WARREN W SIBILLA JR., PH.D.
Title: OWNER
Phone: (574) 232-4453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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