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Organization

RICHARD A GIANFAGNA, PH,D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A GIANFAGNA PH.D. (PRESIDENT)
(765) 935-5344
Entity
Organization

Contact information

Practice address
408 S 14TH ST, RICHMOND, IN 47374-6403
(765) 935-5344
Mailing address
408 S 14TH ST, RICHMOND, IN 47374-6403
(765) 935-5344

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
12/22/2011
Last updated
06/03/2012
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