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Contact Information

DYNAMIC PSYCHOLOGY, LLC
619 FRANKLIN ST STE 203
MICHIGAN CITY, IN46360-3411
 Phone: 219-561-0168
 Fax: 219-666-6092
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for DYNAMIC PSYCHOLOGY, LLC

NPI # 1477159622
LBN Legal business name DYNAMIC PSYCHOLOGY, LLC
Authorized official KATHRYN ZECKEL - (OWNER CLINICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2020
Last updated 03/09/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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