NPI 1003318122

Jean M Nanos, PSYDHSPP

Practitioner Clinical Psychologist Munster, IN

Practice location

Address: 8124 Calumet Ave, Munster, IN 46321
Phone: (219) 852-8558
Fax: (219) 852-8558
Mailing address: PO Box 3294, Munster, IN 46321-0294

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20043103A (IN)

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Registry record

NPI: 1003318122
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2018
Record last updated: 7 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.