NPI 1235139049

Michael Lee Seretny, PHDHSPP

Practitioner Clinical Neuropsychologist West Lafayette, IN

Practice location

Address: 1203 Trace 12, West Lafayette, IN 47906-1878
Phone: (765) 430-4049

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20040537A (IN)

Other Clinical Neuropsychologist providers in Indiana →

Registry record

NPI: 1235139049
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2005
Record last updated: 21 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.