Mary M Kadlec is a Psychologist in Fort Wayne, Indiana. Mary M Kadlec practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary M Kadlec is 1700871977. The last update date is 2007-07-08.
Mary M Kadlec's current location address is 4214 Hobson Ct, Fort Wayne, Indiana. You can contact this provider via phone number 2604865251 and fax number 2604865058. The mailing address for Mary M Kadlec is 4214 Hobson Ct, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary M Kadlec |
|---|---|
| Address | 4214 Hobson Ct, Fort Wayne, Indiana |
| Phone Number | 2604865251 |
| Fax Number | 2604865058 |
| Sole Proprietor | X |
| Credentials | PSYD HSPP |
NPI Number Detail
| NPI Number | 1700871977 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4214 Hobson Ct |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468158648 |
| Phone Number | 2604865251 |
| Fax Number | 2604865058 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20040944A |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7607161 | AETNA US HEALTHCARE | ||
| 256981 | VALUE OPTIONS | ||
| 296403 | ANTHEM | ||
| 20027420A | IN | -- | |
| 36768 | CIGNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary M Kadlec?
The Mary M Kadlec has been issued the NPI (National Provider Identifier) 1700871977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary M Kadlec is geographically located?
The Mary M Kadlec is physically situated at the following location: 4214 Hobson Ct, Fort Wayne, IN, 468158648.
What is Mary M Kadlec's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary M Kadlec is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did Mary M Kadlec receive its 1700871977 assignment from the Centers for Medicare & Medicaid Services?
The Mary M Kadlec was assigned its 1700871977 on 2005-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mary M Kadlec, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary M Kadlec, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.