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Individual

COLIN M RAK-DIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, HSPP

Contact information

Practice address
1905 S NEW MARKET ST STE 260, CARMEL, IN 46032-7424
(317) 564-9797
(877) 401-3034
Mailing address
1905 S NEW MARKET ST STE 260, CARMEL, IN 46032-7424
(317) 564-9797
(877) 401-3034

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
00000000A
IN

Other

Enumeration date
09/23/2011
Last updated
01/07/2023
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