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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL LEE SERETNY, PHD, HSPP

Active Sole Proprietor

DR. MICHAEL LEE SERETNY, PHD, HSPP is a Clinical Neuropsychologist healthcare provider located in WEST LAFAYETTE, Indiana. NPI 1235139049 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · WEST LAFAYETTE, IN

Registration Details

NPI Number
1235139049
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2005 (21.093930704206 yrs)
Last Updated
Feb 21, 2009
License
20040537A (IN)
Sole Proprietor
Yes

Practice Information

Address
1203 TRACE 12
WEST LAFAYETTE, IN, 479061878
Browse IN providers · Browse ZIP 47906
Phone
7654304049
Primary Specialty
Clinical Neuropsychologist
103G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.