| Damo Antwine-jelani, NCSP | |
|
2650 W 35th Ave, Gary, IN 46408-1416 | |
| (630) 864-0704 | |
| Not Available |
| Full Name | Damo Antwine-jelani |
|---|---|
| Gender | Male |
| Speciality | Psychologist - School |
| Location | 2650 W 35th Ave, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225792427 | NPI | - | NPPES |
| 63445 | Medicaid | AZ | |
| 1185755 | Medicaid | IL | |
| 6099042 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 10307188 (Indiana) | Secondary |
| 103TS0200X | Psychologist - School | 1185755 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Damo Antwine-jelani, NCSP 429 N Weber Rd Ste B-274, Romeoville, IL 60446-3902 Ph: (630) 864-0704 | Damo Antwine-jelani, NCSP 2650 W 35th Ave, Gary, IN 46408-1416 Ph: (630) 864-0704 |
Ms. Jacqueline Bernice Fowler, HAPP, LMT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8620 Maple Ave, Gary, IN 46403 Phone: 219-963-2956 | |
Catherine Verkuilen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2367 E 21st Ave, Gary, IN 46407 Phone: 219-689-0816 | |
Mr. Orlando James Jennings, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3424 Pennsylvania St, Gary, IN 46409 Phone: 678-334-9067 | |
Tantra Posey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Gerry St, Gary, IN 46406 Phone: 219-808-4850 | |
Dr. Milton Armston Jr., PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-882-0242 | |
Eboni Marie Smith, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4121 Lincoln St Apt 2, Gary, IN 46408 Phone: 872-301-0893 |