Gary Wayne Watulak in Rutland - Cognitive & Behavioral
Gary Wayne Watulak - NPI 1952312373
Gary Wayne Watulak is a Cognitive & Behavioral in Rutland, Vermont. Gary Wayne Watulak practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Gary Wayne Watulak is 1952312373. The last update date is 2007-07-08.
Gary Wayne Watulak's current location address is 26 Cottage St, Rutland, Vermont. You can contact this provider via phone number 8027756031 and fax number 8027756031. The mailing address for Gary Wayne Watulak is 26 Cottage St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Wayne Watulak |
|---|---|
| Address | 26 Cottage St, Rutland, Vermont |
| Phone Number | 8027756031 |
| Fax Number | 8027756031 |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1952312373 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26 Cottage St |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57013404 |
| Phone Number | 8027756031 |
| Fax Number | 8027756031 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 470000240 |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51742 | CIGNA | ||
| 6590 | VT | -- | |
| 331856 | VT | MHN | |
| 11326073 | CAQH | ||
| 691411 | VT | MVP | |
| 6590 | VT | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Wayne Watulak by the Centers for Medicare & Medicaid Services?
The Gary Wayne Watulak has been issued the NPI (National Provider Identifier) 1952312373 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gary Wayne Watulak is geographically located?
The Gary Wayne Watulak is physically situated at the following location: 26 Cottage St, Rutland, VT, 57013404.
What is Gary Wayne Watulak's area of expertise and its corresponding taxonomy classification?
The Gary Wayne Watulak's field of specialization is Cognitive & Behavioral, and it falls under the taxonomy code 103Tb0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gary Wayne Watulak receive the assignment of its 1952312373 from the Centers for Medicare & Medicaid Services?
The Gary Wayne Watulak was issued its 1952312373 by the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the information related to Gary Wayne Watulak most recently updated or refreshed?
The details pertaining to the Gary Wayne Watulak, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.