Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 071007413 | IL |
N | 103TC0700X | Clinical Psychologist | 071007413 | IL |
Y | 103G00000X | Clinical Psychologist | 071-0007413 | IL |
Y | 103TC0700X | Clinical Psychologist | 071-0007413 | IL |
N | 103G00000X | Clinical Psychologist | 20042339A | IN |
N | 103TC0700X | Clinical Psychologist | 20042339A | IN |
NPI | 1003092198 |
---|---|
Provider Name | Dr. Jaswinder Singh |
First Address | Merrillville, IN 46410-4731 |
Second Address | Merriville, IN 46410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2008 |
Last Update Date | 19/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200180590A | (05) | IN |