Individual
BRIAN PRIMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2900 N RIVER RD, W LAFAYETTE, IN 47906-3744
(765) 463-2555
(765) 497-3960
Mailing address
2900 N RIVER RD, W LAFAYETTE, IN 47906-3744
(765) 463-2555
(765) 497-3960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010353
IN
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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