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Dr. Michaela Kym Spangenburg, Psy.D.

Psychologist, Clinical in Merrillville, IN. Individual provider (NPI-1).

NPI number1265831796
StatusActive
Last updated in NPPESOct 4, 2021

Details

NPI
1265831796
Entity type
Individual (NPI-1)
Name
Dr. Michaela Kym Spangenburg
Credential
Psy.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2014
Certification date
Oct 4, 2021
Last updated
Oct 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical20043453AINYes

Practice location

7725 Broadway Ste A
Merrillville, IN 46410-4787

Phone 707-736-1000

Mailing address

7725 Broadway Ste A
Merrillville, IN 46410-4787

Phone 707-736-1000

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