License holder summary

CLINICAL PSY ASSOC PHD P is a Psychology Board - Psychology Corporation licensed to practice in Indiana. The address on file for CLINICAL PSY ASSOC PHD P is 9111 BROADWAY SUITE Q, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 11/08/1984 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

CLINICAL PSY ASSOC PHD P
Psychology Board - Psychology Corporation
License number
57000003A
Date granted
11/08/1984
Date expires
01/31/2004
Class
Psychology Board - Psychology Corporation
Status
Expired
Address
9111 BROADWAY SUITE Q, MERRILLVILLE IN 46410
indianalicensing.org
ID 24929808
LAST UPDATED 2026-05-07 04:40:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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