Most Relevant Information
Provider Data
| NPI Number: | 1003318122 |
| Provider Name: | JEAN M NANOS PSY.D., HSPP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 20043103A |
Most Important Dates
| Enumeration Date: | 03/05/2018 |
| Last Updated: | 08/07/2018 |
Provider Practice Location
8124 CALUMET AVE
MUNSTER
IN
46321
Practice Location Phone/Fax
| Phone: | 2198528558 |
| Fax: | 2198528558 |
Provider Mailing Location
PO BOX 3294
MUNSTER
IN
463210294
Provider Mailing Phone/Fax
| Phone: | 2198528558 |
| Fax: | 2198528558 |