| Dr. Adam Dell, Llc | |
|
210 S Race St Mishawaka IN 46544-2032 | |
| (574) 527-6298 | |
| Not Available |
| Full Name | Dr. Adam Dell, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 210 S Race St, Mishawaka, Indiana |
| Authorized Official Name and Position | Adam David Dell (SOLE MEMBER) |
| Authorized Official Contact | 5745276298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Adam Dell, Llc 59280 Blackbird Ct Goshen IN 46528-8341 Ph: (574) 527-6298 | Dr. Adam Dell, Llc 210 S Race St Mishawaka IN 46544-2032 Ph: (574) 527-6298 |
| NPI Number | 1538920236 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 9032555826 |
|---|---|
| Medicare Enrollment ID | O20240315000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538920236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adam D Dell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750623989 PECOS PAC ID: 0446571327 Enrollment ID: I20201208002360 |
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