NICKOLAUS H GASTIL Psych
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1053139808- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Psych
- Status
- Active
Contact & Location
- Address
- 645 S ROGERS ST, BLOOMINGTON, IN, 474032353
- Phone
- (812) 314-3400
- Fax
- (812) 337-2438
Specialties & Taxonomies
Psychologist, Clinical
Primary License: IN #20043859A