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Superpsyched, LLC

Speech-Language Pathologist, in Merrillville, IN. Organization (NPI-2).

NPI number1447923321
StatusActive
Last updated in NPPESMar 10, 2022

Details

NPI
1447923321
Entity type
Organization (NPI-2)
Legal business name
Superpsyched, LLC
Organization subpart
No
Enumeration date
Jul 27, 2021
Certification date
Mar 10, 2022
Last updated
Mar 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes
225XH1300X Occupational Therapist, Human Factors––
225XM0800X Occupational Therapist, Mental Health––
225200000X Physical Therapy Assistant––
225XE0001X Occupational Therapist, Environmental Modification––
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing––
2355S0801X Specialist/Technologist, Speech-Language Assistant––
103T00000X Psychologist––
224Z00000X Occupational Therapy Assistant––
224ZE0001X Occupational Therapy Assistant, Environmental Modification––
224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing––
225100000X Physical Therapist––
2251P0200X Physical Therapist, Pediatrics––
2251X0800X Physical Therapist, Orthopedic––

Other names

  • Superpsyched LLC (Doing Business As)

Practice location

8690 Broadway Ste A
Merrillville, IN 46410-7034

Phone 219-315-9700

Mailing address

2059 Govert Dr
Schererville, IN 46375-5126

Phone 708-679-4349

Authorized official

Charmanika Mosley
Chief Executive Officer / Sole Owne
2197509600

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