MS. DEBORAH KAY CLARDY


Address: 53846 Generations Dr, South Bend, IN 46635-1543
Phone: 5742439370

MS. DEBORAH KAY CLARDY (NPI# 1255472643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255472643
Entity Type Individual
Full Name MS. DEBORAH KAY CLARDY
Other Name MS. DEBORAH KAY COOK-CLARDY
Credential L.M.H.C.
Practice Address 53846 Generations Dr
South Bend
IN 46635-1543
Mailing Address 4308 Hickory Rd
Apt. 1-d
Mishawaka
IN 46545-8529
Practice Telephone 5742439370
Practice Fax Number 5742439375
Mailing Telephone 5743094295
Enumeration Date 2007-02-09
Last Update Date 2015-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
39001868A IN Behavioral Health & Social Service Providers

Office Location

Street Address 53846 GENERATIONS DR
City SOUTH BEND
State IN
Zip Code 46635-1543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053735191 Stephanie Mcpherrin Counselor 53846 Generations Dr, South Bend, IN 46635-1543 2014-02-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295078228 Michael Pfeiffer Otolaryngology 6301 University Commons Ste 360, South Bend, IN 46635 2013-03-27
1679833438 Whitney Moore Physical Therapy Assistant 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 2012-05-25
1992917637 Elly May Wynia Social Worker 53700 Generations Drive, Suite 200, South Bend, IN 46635 2007-05-04
1891917282 Lifetime Dental Careof Indiana, PC Dentist 1605 North Ironwood, South Bend, IN 46635 2007-05-03
1750502878 Tyrone Arteese Armstead Pharmacist 3355 Douglas Rd, South Bend, IN 46635 2007-05-02
1013033794 Bradley Richard Swanson Dentist 54505 26th Street, Unit E, South Bend, IN 46635 2007-03-22
1225185739 Michael J. O'connell D.o. Inc Family Medicine 17960 Cleveland Road, South Bend, IN 46635 2007-01-05
1346300365 Chad Fulton Harrington Dentist 3340 Douglas Rd., South Bend, IN 46635 2006-12-11
1346313236 Dr Shawn R Long Dds PC Dentist 16329 State Rd 23, South Bend, IN 46635 2006-11-16
1134206576 Kearn David Hinchman Psychiatry & Neurology 53779 Generations Drive, Suite 1, South Bend, IN 46635 2006-11-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962917385 Andrea Eriks Counselor 51728 Indiana 933, South Bend, IN 46637-4663 2017-12-07
1497272975 Audrey Renee Miller Counselor 912 E Lasalle Ave, South Bend, IN 46617-2817 2017-08-25
1912429127 Valerie Galbraith Counselor 51728 State Road 933, South Bend, IN 46637-1706 2017-07-10
1851781777 Beth Madigan Counselor 2955 Mckinley Ave Ste C, South Bend, IN 46615-2733 2015-01-30
1982901450 Jocelyn Margaret Bailey Counselor 616 E. Colfax Ave., South Bend, IN 46617-2827 2011-02-18
1629378658 Lindsay London Counselor 3516 E Jefferson Blvd, South Bend, IN 46615-3034 2010-10-25
1902133648 Martha Denise May Counselor 1006 West Robert Bush Drive, South Bend, WA 98586 2009-11-16
1205086246 Goode Counseling Services Counselor 4560 S Ironwood Dr, South Bend, IN 46614-9595 2008-09-26
1326207820 Geraldne F Bryan Counselor 1443 Hampshire Dr, South Bend, IN 46614-6005 2008-06-09
1225223100 Lisa K. Sexton Counselor 205 W Jefferson Blvd, Suite 504, South Bend, IN 46601-1828 2007-09-13
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46635

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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