Individual
JOSEPH NATHAN LASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
Mailing address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20044010A
IN
103TC0700X
Clinical Psychologist
Primary
20044010A
IN
Other
Enumeration date
05/16/2025
Last updated
11/24/2025
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