Individual
ROBERT EDWARD RAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD HSPP
Contact information
Practice address
1441 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 736-9115
(219) 794-2000
Mailing address
8400 LOUISIANNA ST, MERRILLVILLE, IN 46410
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040389A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202003
OTHER
—
05
—
100342770A
—
IN
Enumeration date
08/01/2005
Last updated
02/24/2014
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