| Gary M. Durak, Ph.d., P.c. | |
|
307 Jefferson St Valparaiso IN 46383-4823 | |
| (219) 464-7678 | |
| (219) 462-8351 |
| Full Name | Gary M. Durak, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 307 Jefferson St, Valparaiso, Indiana |
| Authorized Official Name and Position | Gary M. Durak (CLINICAL PSYCHOLOGSIT) |
| Authorized Official Contact | 2194647678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M. Durak, Ph.d., P.c. 307 Jefferson St Valparaiso IN 46383-4823 Ph: (219) 464-7678 | Gary M. Durak, Ph.d., P.c. 307 Jefferson St Valparaiso IN 46383-4823 Ph: (219) 464-7678 |
| NPI Number | 1821249079 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821249079 | NPI | - | NPPES |
| 100298960A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20090233A (Indiana) | Primary |
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