Malden, Ephphatha F
Malden, Ephphatha F is an sole proprietor health care provider with primary practice located at 215 W Indiana Ave , Chesterton IN 46304-2457. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Malden, Ephphatha F can be contacted via phone (219) 921-0705.Contact Information
Primary practice address
215 W Indiana Ave
Chesterton IN 46304-2457
Phone: (219) 921-0705
Fax: (219) 921-0557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34006605A | Indiana |
Profile Details
| NPI number | 1982943213 |
|---|---|
| LBN Legal business name | Malden, Ephphatha F |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2013 |
| Last updated | Mar 12th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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