| North Star Services, Llc | |
|
425 Joliet St Suite 309 Dyer IN 46311-1765 | |
| (219) 322-9904 | |
| (219) 322-9956 |
| Full Name | North Star Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 425 Joliet St, Dyer, Indiana |
| Authorized Official Name and Position | Kelly Jackson (MEMBER) |
| Authorized Official Contact | 2193229904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Services, Llc 425 Joliet St Suite 309 Dyer IN 46311-1765 Ph: (219) 322-9904 | North Star Services, Llc 425 Joliet St Suite 309 Dyer IN 46311-1765 Ph: (219) 322-9904 |
| NPI Number | 1053630087 |
|---|---|
| Provider Enumeration Date | 06/01/2010 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053630087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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