Willis, Todd Spencer

Willis, Todd Spencer is an individual health care provider with primary practice located at 601 Wall St , Valparaiso IN 46383-2512. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Willis, Todd Spencer can be contacted via phone (219) 531-3500.

Contact Information

Primary practice address
601 Wall St Valparaiso IN 46383-2512
Phone: (219) 531-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001592A Indiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 2000171100 Missouri

Profile Details

NPI number 1083604235
LBN Legal business name Willis, Todd Spencer
Credentials L.M.H.C., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 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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