Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY W. ELLIOTT, PHD
Active Sole ProprietorMR. GARY W. ELLIOTT, PHD is a Clinical Neuropsychologist healthcare provider located in MISHAWAKA, Indiana. NPI 1518956648 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · MISHAWAKA, IN
Registration Details
- NPI Number
- 1518956648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.847891947068 yrs)
- Last Updated
- Jan 10, 2008
- Licenses
-
20010470A (IN)20010470A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
314 W CATALPASUITE EMISHAWAKA, IN, 46545Browse IN providers · Browse ZIP 46545
- Phone
- 5742541700
- Fax
- 5742542930
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
Other Clinical Neuropsychologist Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| DR. BRADFORD JOHN EATON | PH.D. | 1427068030 |
| DR. CHAD ROBERT EDWARDS | PH.D. | 1487924171 |
| DR. MICHAEL RICHARD MITCHEFF | PSY.D. | 1649624735 |
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.