Individual
CRAIG DEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
3750 LANDMARK DR STE A, LAFAYETTE, IN 47905-6652
(317) 706-7246
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-3415
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300088918
—
IN
Enumeration date
03/19/2018
Last updated
11/25/2025
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