| Doctor Name: | CLAUDE ANN POUPOLOS |
| NPI Number: | 1063828879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 1100 W 6th Ave Gary, IN - 464021711 |
| Business Phone Number: | 2198854264 |
| Business Fax Number: | 2198861332 |
| Mailing Address: | 6055 Virginia St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464103035 |
| Phone Number: | 2197790509 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2014 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |