Provider Demographics
NPI:1518268382
Name:NORTHER INDIANA INTERVENTION SERVICES
Entity Type:Organization
Organization Name:NORTHER INDIANA INTERVENTION SERVICES
Other - Org Name:LOOK WHO'S TALKING THERAPY SERVIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MOTT
Authorized Official - Last Name:PAUPORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-951-7979
Mailing Address - Street 1:7863 BROADWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5553
Mailing Address - Country:US
Mailing Address - Phone:219-951-7979
Mailing Address - Fax:866-615-7734
Practice Address - Street 1:7863 BROADWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5553
Practice Address - Country:US
Practice Address - Phone:219-951-7979
Practice Address - Fax:866-615-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency