Individual
DR. RICHARD PAUL LOOKATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 S GRANT ST, BLOOMINGTON, IN 47401-4733
(812) 334-1209
(812) 334-1209
Mailing address
700 S GRANT ST, BLOOMINGTON, IN 47401-4733
(812) 334-1209
(812) 334-1209
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
WAIVER CERTIFICATION
IN
Other
Enumeration date
10/29/2006
Last updated
07/09/2007
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