Lifesource of North Carolina
Lifesource of North Carolina is a Clinical Psychologist in South Bend, Indiana. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
4600 W Washington StSouth Bend, IN 46619-2320
Phone: (910) 742-9243
Fax: (888) 746-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1295311595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Baddour — President · (910) 777-9165 |
| NPI enumerated | March 18, 2021 |
| Last updated in NPPES | March 18, 2021 |
| Certification date | March 18, 2021 |
| Mailing address | Po Box 538622, Atlanta, GA 30353-8622 |
Other providers in South Bend
-
James F. Brogle, Ph D , PC
828 E Colfax Ave, South Bend, IN 46617-2804 · (574) 233-3003
-
Margaret Ann Jessop, PSYD
53700 Generations Dr Ste 200, South Bend, IN 46635-1539 · (574) 235-3026
-
Heather R Lampton, HSPP
4650 Old Cleveland Rd, South Bend, IN 46628-4324 · (574) 232-8808
-
MS. Stacey Rene Le Fevre, PSYD
100 Navarre Pl Ste 5570, South Bend, IN 46601-1169 · (574) 647-8610
-
Dr. Catherine Maxwell, PHD
53700 Generations Dr Ste 200, South Bend, IN 46635-1539 · (574) 286-9198
-
Bradley S Mazick, PHD, HSPP
1920 Ridgedale Rd, South Bend, IN 46614-2243 · (574) 231-8000
-
Dr. Cynthia Gail Mitchell, PSYD
1318 Mishawaka Ave, South Bend, IN 46615-3919 · (574) 204-2935
-
Dr. Timothy Allan Onkka, PHD
150 W Angela Blvd, South Bend, IN 46617-1101 · (574) 232-5237