Doctor Name: | DR. JASWINDER SINGH |
NPI Number: | 1003092198 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 20042339A |
Business Practice Address: | 8300 Broadway Suite F-1 Merriville, IN - 46410 |
Business Phone Number: | 2197361000 |
Business Fax Number: | 2197369699 |
Mailing Address: | 7725 Broadway, Suite A MERRILLVILLE |
State: | IN |
Postal Code: | 464104731 |
Phone Number: | 2197361000 |
Fax Number: | 2197369699 |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20042339A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |