Individual
CAESAR PACIFICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
205 S WALNUT ST, BLOOMINGTON, IN 47404-6128
(812) 650-2577
Mailing address
812 W 3RD ST, BLOOMINGTON, IN 47404-5002
(812) 331-2057
(812) 331-1685
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20042151A
IN
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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