Provider Demographics
NPI:1699928507
Name:RAYMOND R. BUCUR, PHD. PC
Entity type:Organization
Organization Name:RAYMOND R. BUCUR, PHD. PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUCUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:219-736-5149
Mailing Address - Street 1:518 E 86TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6213
Mailing Address - Country:US
Mailing Address - Phone:219-736-5149
Mailing Address - Fax:219-736-5670
Practice Address - Street 1:518 E 86TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6213
Practice Address - Country:US
Practice Address - Phone:219-736-5149
Practice Address - Fax:219-736-5670
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAYMOND R BUCUR PHD-PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20090126103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty