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Contact Information

GLOBE STAR, LLC
621 BROADWAY
CHESTERTON, IN46304-2259
 Phone: 219-921-5492
 Fax: 219-921-0143
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLOBE STAR LLC · (Female)

NPI # 1912922550
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2006
Last updated 09/15/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 100110700
  • IN Medicaid 100110700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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