Organization Name: | A NEW FOCUS PSYCHOLOGICAL SERVICES, P.C. |
NPI Number: | 1174897003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH FRANCIS GAZARKIEIWCZ (CLINICAL PSYCHOLOGIST / PRESIDENT) |
Mailing Address: | 1411 S. Woodland Avenue Suite B Michigan City |
State: | IN US |
Postal Code: | 46360 |
Phone Number: | 2198798580 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2012 |
NPI Last Update Date: | 02/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20042249A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |