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NPI Code Detail

MEDICARE: DR. AUNA L. SKARNING PRESTON PH.D.

MEDICARE: DR. AUNA L. SKARNING PRESTON PH.D.
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
1103TC1900XCounseling Psychologist20040925AIN

General Provider Information

NPI Number : 1376611137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUNA L. SKARNING PRESTON PH.D.
Provider Business Mailing Address
First Line : 17195 CLEVELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46635-1415
Country : US
Telephone Number : 574-277-0274
Fax Number : 574-271-7202
Provider Business Practice Location Address
First Line : 17195 CLEVELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46635-1415
Country : US
Telephone Number : 574-277-0274
Fax Number : 574-271-7202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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