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DR. CAROL ERDMAN PH.D.

Clinical Neuropsychologist

South Bend, Indiana

Provider NPI: 1831180710

Provider Information:
DR. CAROL  ERDMAN PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
615 N MICHIGAN ST  SOUTH BEND, IN 46601 US
Tel: 574-647-1000  Fax: --

Business Mailing Address:
710 N NILES AVE  SOUTH BEND, IN 46617 US
Tel: 574-647-1610  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IN20142017A
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI6301013085
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IL071-006805
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IN20042017A

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM/BLUE CROSS ID000000373437IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS IN - Page 1



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