Individual
DR. BEN REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1201 CUMBERLAND AVE, LAFAYETTE, IN 47906-1359
(630) 777-8690
Mailing address
927 MILKY WAY, LAFAYETTE, IN 47905-4748
(630) 777-8690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043159B
IN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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