Digby-Berry, Ceola

Digby-Berry, Ceola is an sole proprietor health care provider with primary practice located at 3111 W Jackson St , Muncie IN 47304-4371. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Digby-Berry, Ceola can be contacted via phone (765) 284-0879.

Contact Information

Primary practice address
3111 W Jackson St Muncie IN 47304-4371
Phone: (765) 284-0879
Fax: (765) 284-1480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20040153A Indiana

Profile Details

NPI number 1689787855
LBN Legal business name Digby-Berry, Ceola
Credentials PHD. HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated May 13th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689787855 NPPES
Indiana Other 163150000 MAGELLAN
Indiana MEDICAID 100333710 MAGELLAN
Indiana Other 000000186182 MAGELLAN

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