Individual
DR. WILLIAM JEFFREY LOTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
32 RIDGE RD, MUNSTER, IN 46321-1518
(219) 836-8806
(219) 922-9299
Mailing address
10105 WELLINGTON TER, MUNSTER, IN 46321-4373
(219) 922-9299
(219) 922-1945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041350A
IN
Other
Enumeration date
12/05/2006
Last updated
07/09/2007
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