Interdisciplinary Diagnostic & Evaluation Center, Inc. in Fort Wayne - Intellectual And Developmental Disabilities
Interdisciplinary Diagnostic & Evaluation Center, Inc. - NPI 1134395510
Interdisciplinary Diagnostic & Evaluation Center, Inc. is a Intellectual And Developmental Disabilities in Fort Wayne, Indiana. Interdisciplinary Diagnostic & Evaluation Center, Inc. practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Interdisciplinary Diagnostic & Evaluation Center, Inc. is 1134395510. The last update date is 2008-05-05.
Interdisciplinary Diagnostic & Evaluation Center, Inc.'s current location address is 3030 Lake Ave Ste 7, Fort Wayne, Indiana. You can contact this provider via phone number 2604222838. The mailing address for Interdisciplinary Diagnostic & Evaluation Center, Inc. is 3030 Lake Ave Ste 7, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interdisciplinary Diagnostic & Evaluation Center, Inc. |
|---|---|
| Address | 3030 Lake Ave Ste 7, Fort Wayne, Indiana |
| Phone Number | 2604222838 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Donn A. Patsy |
| Credentials | ED.D. |
| Telephone Number | 2604222838 |
NPI Number Detail
| NPI Number | 1134395510 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | 3030 Lake Ave Ste 7 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055428 |
| Phone Number | 2604222838 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | 20090014A |
|
Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100080770 A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Interdisciplinary Diagnostic & Evaluation Center, Inc.?
The Interdisciplinary Diagnostic & Evaluation Center, Inc. has been issued the NPI (National Provider Identifier) 1134395510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Interdisciplinary Diagnostic & Evaluation Center, Inc.?
The Interdisciplinary Diagnostic & Evaluation Center, Inc. is situated at 3030 Lake Ave Ste 7, in the city of Fort Wayne, state of IN, with the zip code 468055428.
What is Interdisciplinary Diagnostic & Evaluation Center, Inc.'s area of expertise and its corresponding taxonomy classification?
The Interdisciplinary Diagnostic & Evaluation Center, Inc.'s field of specialization is Intellectual And Developmental Disabilities, and it falls under the taxonomy code 103Tm1800X, which categorizes healthcare providers based on their areas of practice.
When was the Interdisciplinary Diagnostic & Evaluation Center, Inc.'s 1134395510 issued?
The Interdisciplinary Diagnostic & Evaluation Center, Inc.'s 1134395510 was issued on 2008-05-05.
When was the information regarding Interdisciplinary Diagnostic & Evaluation Center, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Interdisciplinary Diagnostic & Evaluation Center, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-05.
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