Individual
DR. NANCY ANNE GULANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 N MICHIGAN ST, SOUTH BEND, IN 46601-1295
(574) 287-7399
(574) 287-8484
Mailing address
300 N MICHIGAN ST, SOUTH BEND, IN 46601-1295
(574) 287-7399
(574) 287-8484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20010342A
IN
103TC0700X
Clinical Psychologist
20010342A
IN
103TC1900X
Counseling Psychologist
20010342A
IN
106H00000X
Marriage & Family Therapist
Primary
20010342A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20010342A
PSYCHOLOGIST LICENSE #
IN
Enumeration date
04/12/2007
Last updated
09/11/2025
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