Healthcare Provider Details

I. General information

NPI: 1699695312
Provider Name (Legal Business Name): NORTHWEST INDIANA SPECIAL EDUCATION COOPERATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W 97TH PL
CROWN POINT IN
46307-2346
US

IV. Provider business mailing address

2150 W 97TH PL
CROWN POINT IN
46307-2346
US

V. Phone/Fax

Practice location:
  • Phone: 219-769-4000
  • Fax: 219-769-4563
Mailing address:
  • Phone: 219-769-4000
  • Fax: 219-769-4563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. MONICA CONSTANTINE
Title or Position: SCHOOL PSYCHOLOGIST
Credential: ED.S
Phone: 219-769-4000