Individual
DR. STANLEY P LELEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
2503 CHICAGO ST STE F, VALPARAISO, IN 46383-5863
(219) 464-4195
(219) 464-4195
Mailing address
2503 CHICAGO ST STE F, VALPARAISO, IN 46383-5863
(219) 464-4195
(219) 464-4195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO14
IN
103T00000X
Psychologist
Primary
20040005
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213402
BCBS
—
05
—
100209720A
—
IN
Enumeration date
07/18/2006
Last updated
04/01/2015
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