Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gary W. Elliott, PHD

Individual provider Clinical Neuropsychologist · NPI 1518956648

Mr. Gary W. Elliott, PHD is a Clinical Neuropsychologist in Mishawaka, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

314 W Catalpa Ste E
Mishawaka, IN 46545
Phone: (574) 254-1700
Fax: (574) 254-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 20010470A (IN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 20010470A (IN)

Record details

NPI number1518956648
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 20, 2005
Last updated in NPPESJanuary 10, 2008

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