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Individual

DR. RICHARD ALAN GIANFAGNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
408 S 14TH ST, RICHMOND, IN 47374-6403
(765) 935-5344
(765) 966-8338
Mailing address
408 S 14TH ST, RICHMOND, IN 47374-6403
(765) 935-5344
(765) 966-8338

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010442A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100256150A
IN
Enumeration date
11/09/2005
Last updated
09/30/2010
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