Powers Psychological Services Llc in Fort Wayne - Clinical
Powers Psychological Services Llc - NPI 1912121070
Powers Psychological Services Llc is a Clinical in Fort Wayne, Indiana. Powers Psychological Services Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Powers Psychological Services Llc is 1912121070. The last update date is 2020-08-22.
Powers Psychological Services Llc's current location address is 10311 Dawsons Creek Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604905800 and fax number 2604908722. The mailing address for Powers Psychological Services Llc is 10311 Dawsons Creek Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Powers Psychological Services Llc |
|---|---|
| Address | 10311 Dawsons Creek Blvd, Fort Wayne, Indiana |
| Phone Number | 2604905800 |
| Fax Number | 2604908722 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Powers Dormire Abigail |
| Credentials | PH.D. |
| Telephone Number | 2604905800 |
NPI Number Detail
| NPI Number | 1912121070 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10311 Dawsons Creek Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468251913 |
| Phone Number | 2604905800 |
| Fax Number | 2604908722 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040449A |
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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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What is the unique 10-digit identifier code issued to Powers Psychological Services Llc by the Centers for Medicare & Medicaid Services?
The Powers Psychological Services Llc has been assigned the NPI (National Provider Identifier) 1912121070 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Powers Psychological Services Llc is geographically located?
The Powers Psychological Services Llc is physically situated at the following location: 10311 Dawsons Creek Blvd, Fort Wayne, IN, 468251913.
What is Powers Psychological Services Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Powers Psychological Services Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Powers Psychological Services Llc receive its 1912121070 assignment?
The Powers Psychological Services Llc was assigned its 1912121070 on 2007-04-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Powers Psychological Services Llc's details last updated?
The information pertaining to the Powers Psychological Services Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.