Indiana Professional Psychological Services, P.C. in Fort Wayne - Counseling
Indiana Professional Psychological Services, P.C. - NPI 1992974620
Indiana Professional Psychological Services, P.C. is a Counseling in Fort Wayne, Indiana. Indiana Professional Psychological Services, P.C. practices all healthcare services and medical treatments related to Counseling. The NPI Number for Indiana Professional Psychological Services, P.C. is 1992974620. The last update date is 2011-11-03.
Indiana Professional Psychological Services, P.C.'s current location address is 6408 Constitution Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604690090 and fax number 2604690091. The mailing address for Indiana Professional Psychological Services, P.C. is 6408 Constitution Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indiana Professional Psychological Services, P.C. |
|---|---|
| Address | 6408 Constitution Dr, Fort Wayne, Indiana |
| Phone Number | 2604690090 |
| Fax Number | 2604690091 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Baney Lee Daniel |
| Credentials | PH.D. |
| Telephone Number | 2604690090 |
NPI Number Detail
| NPI Number | 1992974620 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 6408 Constitution Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468041558 |
| Phone Number | 2604690090 |
| Fax Number | 2604690091 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | 20040759A |
|
Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200450 | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Indiana Professional Psychological Services, P.C.?
The Indiana Professional Psychological Services, P.C. has been issued the NPI (National Provider Identifier) 1992974620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Indiana Professional Psychological Services, P.C. is physically located?
The Indiana Professional Psychological Services, P.C. is situated at the following address: 6408 Constitution Dr, Fort Wayne, IN 468041558.
What is Indiana Professional Psychological Services, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Indiana Professional Psychological Services, P.C. is Counseling, and the taxonomy code that categorizes this field of expertise is 103Tc1900X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992974620 to Indiana Professional Psychological Services, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1992974620 to Indiana Professional Psychological Services, P.C. on 2008-02-27.
When was the information related to Indiana Professional Psychological Services, P.C. most recently updated or refreshed?
The details pertaining to the Indiana Professional Psychological Services, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-03.
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