| Doctor Name: | MS. DEBORAH KAY CLARDY |
| NPI Number: | 1255472643 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.H.C. |
| License Number: | |
| Business Practice Address: | 53846 Generations Dr South Bend, IN - 466351543 |
| Business Phone Number: | 5742439370 |
| Business Fax Number: | 5742439375 |
| Mailing Address: | 4308 Hickory Rd, Apt. 1-d MISHAWAKA |
| State: | IN |
| Postal Code: | 465458529 |
| Phone Number: | 5743094295 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |