Amanda L Mayle is a Clinical in Fort Wayne, Indiana. Amanda L Mayle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amanda L Mayle is 1003865395. The last update date is 2022-10-11.
Amanda L Mayle's current location address is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana. You can contact this provider via phone number 2602665400 and fax number 2602665409. The mailing address for Amanda L Mayle is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda L Mayle |
|---|---|
| Address | 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana |
| Phone Number | 2602665400 |
| Fax Number | 2602665409 |
| Sole Proprietor | N |
| Credentials | PSY.D., HS |
NPI Number Detail
| NPI Number | 1003865395 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2022-10-11 |
Provider Mailing Address Detail
| Address | 11141 Parkview Plaza Dr Ste 210 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451714 |
| Phone Number | 2602665400 |
| Fax Number | 2602665409 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20042046A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200802600 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amanda L Mayle by the Centers for Medicare & Medicaid Services?
The Amanda L Mayle has been issued the NPI (National Provider Identifier) 1003865395 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Amanda L Mayle is physically located?
The Amanda L Mayle is physically situated at the following address: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN, 468451714.
What is the Amanda L Mayle's specialty and taxonomy code?
The Amanda L Mayle's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Amanda L Mayle's 1003865395 issued?
The Amanda L Mayle's 1003865395 was issued on 2006-05-06.
As of what date were the Amanda L Mayle's details last updated?
The information pertaining to the Amanda L Mayle, including its address, specialty, and other details, was most recently updated on 2022-10-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY