Price, Richard Allen
Price, Richard Allen is an sole proprietor health care provider with primary practice located at 302 Jefferson St , Valparaiso IN 46383-4824. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Price, Richard Allen can be contacted via phone (219) 464-9495.Contact Information
Primary practice address
302 Jefferson St
Valparaiso IN 46383-4824
Phone: (219) 464-9495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040893 | Indiana |
Profile Details
| NPI number | 1497776801 |
|---|---|
| LBN Legal business name | Price, Richard Allen |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497776801 | NPPES |
| Indiana | MEDICAID | 20001340A | |
| Indiana | Other | 000000196481 |
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