| Stan Lelek P.c. | |
|
8 Morgan Blvd Valparaiso IN 46383-4836 | |
| (219) 733-2344 | |
| (219) 733-2344 |
| Full Name | Stan Lelek P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8 Morgan Blvd, Valparaiso, Indiana |
| Authorized Official Name and Position | Stan P Lelek (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 2197332344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stan Lelek P.c. 8 Morgan Blvd Valparaiso IN 46383-4836 Ph: (219) 733-2344 | Stan Lelek P.c. 8 Morgan Blvd Valparaiso IN 46383-4836 Ph: (219) 733-2344 |
| NPI Number | 1750682316 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Medicare PECOS PAC ID | 3577750678 |
|---|---|
| Medicare Enrollment ID | O20101214001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750682316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20040005 (Indiana) | Primary |
| Provider Name | Stanley P Lelek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699793315 PECOS PAC ID: 5294922399 Enrollment ID: I20101214001208 |
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