Individual
DR. GARY M DURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
7 NAPOLEON ST, VALPARAISO, IN 46383-4725
(219) 464-7678
(219) 464-0941
Mailing address
7 NAPOLEON ST, VALPARAISO, IN 46383-4725
(219) 464-7678
(219) 464-0941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20090233A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P57840001
PTAN
MI
Enumeration date
06/20/2006
Last updated
06/08/2013
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