Gary R. Speulda, Psy.d. Ltd.

NPI 1497987994 - Psychologist - 103T00000X

NPI Details
NPI 1497987994
Enumeration Date 08/17/2009
Last Updated 10/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GARY RICHARD GARY
Position CLINICAL PSYCHOLOGIST / PRESIDENT
Phone (630) 495-0137
Fax (630) 495-0137
Practice Location
2 SOUTH 468 LLOYD AVE.
LOMBARD IL, 60148-5222, US
Phone (630) 495-0137
Fax (630) 495-0137
Business Location
2 SOUTH 468 LLOYD AVE.
LOMBARD IL, 60148-5222, US
Phone (630) 495-0137
Fax (630) 495-0137
Toxanomy
Taxonomy Code 103T00000X
License State Illinois
License Number 071-004767
Remove 1497987994 NPI Number
 

According to our database, Gary R. Speulda, Psy.d. Ltd. NPI is 1497987994, taxonomy code is 103T00000X and license number is 071-004767, license state is located at Illinois. Gary R. Speulda, Psy.d. Ltd. physically located at 2 South 468 Lloyd Ave., Lombard IL, 60148-5222. NPI Number 1033115704 has the healthcare provider type.

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1497987994 NPI number is provided on an as is basis without warranty of any kind. 1497987994 is maintained by the National Plan & Provider Enumeration System. The contents of Gary R. Speulda, Psy.d. Ltd. are for informational purposes only.