Watulak, Gary Wayne
Watulak, Gary Wayne is an sole proprietor health care provider with primary practice located at 26 Cottage St , Rutland VT 05701-3404. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Watulak, Gary Wayne can be contacted via phone (802) 775-6031.Contact Information
Primary practice address
26 Cottage St
Rutland VT 05701-3404
Phone: (802) 775-6031
Fax: (802) 775-6031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 0470000240 | Vermont |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 0470000240 | Vermont |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 0470000240 | Vermont |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 0470000240 | Vermont |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0470000240 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0470000240 | Vermont |
Profile Details
| NPI number | 1952312373 |
|---|---|
| LBN Legal business name | Watulak, Gary Wayne |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952312373 | NPPES |
| Other | 51742 | CIGNA | |
| MEDICAID | 0006590 | CIGNA | |
| Other | 331856 | CIGNA | |
| Other | 11326073 | CIGNA | |
| Other | 691411 | CIGNA | |
| Other | 6590 | CIGNA |
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