Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GILLIS
Active Sole ProprietorSchool Psychologist · PAOLI, IN
Registration Details
- NPI Number
- 1629890256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2024 (1.4914850083842 yrs)
- Last Updated
- Oct 25, 2024
- License
-
1534706 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 ELM ST STE 2PAOLI, IN, 474541175Browse IN providers · Browse ZIP 47454
- Phone
- 5026932719
- Primary Specialty
-
School Psychologist
103TS0200X
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.