Center For Brief Therapy Pc in Fort. Wayne - Prescribing (medical)
Center For Brief Therapy Pc - NPI 1285839480
Center For Brief Therapy Pc is a Prescribing (medical) in Fort. Wayne, Indiana. Center For Brief Therapy Pc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Center For Brief Therapy Pc is 1285839480. The last update date is 2019-04-23.
Center For Brief Therapy Pc's current location address is 423 Airport N. Office Park, Fort. Wayne, Indiana. You can contact this provider via phone number 2609695583 and fax number 2609695584. The mailing address for Center For Brief Therapy Pc is 423 Airport N. Office Park, Fort. Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Brief Therapy Pc |
|---|---|
| Address | 423 Airport N. Office Park, Fort. Wayne, Indiana |
| Phone Number | 2609695583 |
| Fax Number | 2609695584 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Freeman Clevenger E Sharon |
| Credentials | PMHCNS-BC |
| Telephone Number | 2609695583 |
NPI Number Detail
| NPI Number | 1285839480 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2019-04-23 |
Provider Mailing Address Detail
| Address | 423 Airport N. Office Park |
|---|---|
| City | Fort. Wayne |
| State | Indiana (IN) |
| Post Code | 468256704 |
| Phone Number | 2609695583 |
| Fax Number | 2609695584 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 70000153A |
|
Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7585825 | IN | AETNA | |
| 376137 | IN | ANTHEM | |
| 386107 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Center For Brief Therapy Pc by the Centers for Medicare & Medicaid Services?
The Center For Brief Therapy Pc has been assigned the NPI (National Provider Identifier) 1285839480. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Center For Brief Therapy Pc's physical address?
The Center For Brief Therapy Pc is physically located at 423 Airport N. Office Park, in the city of Fort. Wayne, IN, with the postal code 468256704.
What is Center For Brief Therapy Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Center For Brief Therapy Pc is Prescribing (medical), and the taxonomy code that categorizes this field of expertise is 103Tp0016X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285839480 to Center For Brief Therapy Pc?
The Centers for Medicare & Medicaid Services originally issued the 1285839480 to Center For Brief Therapy Pc on 2007-06-18.
When was the information related to Center For Brief Therapy Pc most recently updated or refreshed?
The details pertaining to the Center For Brief Therapy Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-23.
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