| Doctor Name: | MR. DANIEL TOBIAS KACHUR |
| NPI Number: | 1093126765 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 15 North Franklin Street Suite 230 Valparaiso, IN - 46383 |
| Business Phone Number: | 2194624770 |
| Business Fax Number: | 2194648156 |
| Mailing Address: | 15 North Franklin Street, Suite 230 VALPARAISO |
| State: | IN |
| Postal Code: | 46383 |
| Phone Number: | 2194624770 |
| Fax Number: | 2194648156 |
| NPI Enumeration Date: | 05/15/2014 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |