MS. Elyse Noel Chudzynski
MS. Elyse Noel Chudzynski is an Undefined Non-Physician Type (Specify) in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
3524 Mishawaka AveSouth Bend, IN 46615-2424
Phone: (574) 314-5987
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1316684061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2022 |
| Last updated in NPPES | May 15, 2022 |
| Certification date | May 12, 2022 |
| Mailing address | 548 River Ave, South Bend, IN 46601-3236 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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