C.L.O. Psychological, Serv.
Organization Active NPI Community/Behavioral Health Agency · Dyer, IN
NPI 1447629142 · NPPES record last updated Sep 23, 2015
Key facts
- NPI
- 1447629142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- C.L.O. PSYCHOLOGICAL, SERV.
- Practice address
- 925 Killarney Dr
Dyer, IN 46311-1292 - Phone
- (773) 618-2231
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Carolyn Louise Owens, PSY.D.
- Title
- Clinical Psychologist/President
- Phone
- (773) 618-2231
Practitioners 6
-
Lashaun Dumas, MSW, LCPC
-
Joanna Haversham, M.A.
-
Carolyn Louise Owens, PSY.D.
-
Diana Thomas, M.S.
-
Ylonda Ware, M.S.
-
Michael Heard, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
925 Killarney Dr
Dyer, IN 46311-1292
Mailing address
925 Killarney Dr
Dyer, IN 46311-1292
Phone (773) 618-2231
Other providers in Dyer, IN
- Satara Brown
- Erica L Bucholtz
- Jodi Bult
- Tanya D Burk-Willson
- Erin Elizabeth Burrell
- Timothy Caballero
- Cannan Healthcare Services & Staffing Inc
- Cardiospecialists Group, LTD
- Bethany Lynn Casson
- Kelly M Cavanaugh
All providers in Dyer, IN · Community/Behavioral Health Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.