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NPI Code Detail

MEDICARE: ELIZABETH ALENA SEDWICK

MEDICARE: ELIZABETH ALENA SEDWICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIN

General Provider Information

NPI Number : 1073472874
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ALENA SEDWICK
Provider Business Mailing Address
First Line : 9502 W 141ST PL
Second Line :
City : CEDAR LAKE
State : IN
Zip : 46303-9303
Country : US
Telephone Number : 219-671-4930
Fax Number :
Provider Business Practice Location Address
First Line : 501 WALL ST
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2537
Country : US
Telephone Number : 317-960-4052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ ELIZABETH ALENA SEDWICK ” Practice Location

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