Individual
DR. DONALD L WERDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
(765) 496-2139
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
(765) 496-2139
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041316A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385245
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/03/2006
Last updated
07/08/2007
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