Individual
NICKOLAUS H GASTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCH
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 314-3400
(812) 337-2438
Mailing address
4645 BELLSVILLE PIKE, NASHVILLE, IN 47448-9090
(812) 320-8109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043859A
IN
Other
Enumeration date
10/01/2024
Last updated
06/02/2025
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