IndividualActive
Richard Lookatch, PH.D.
NPI 1407932791 · Intellectual & Developmental Disabilities Psychologist · Bloomington, IN
Provider details
- NPI number
- 1407932791
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- WAIVER CERTIFICATION (IN)
Specialties & taxonomies
- Intellectual & Developmental Disabilities PsychologistPrimary103TM1800XLicense WAIVER CERTIFICATION (IN)
Behavioral Health & Social Service Providers
Practice location
700 S Grant St
Bloomington, IN 47401-4733
Phone: (812) 334-1209
Fax: (812) 334-1209
Approximate (ZIP-level) locationGet directions
Mailing address
700 S Grant St
Bloomington, IN 47401-4733
Registry dates
- Enumerated
- 2006-10-29
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.