Interdisciplinary Diagnostic And Evaluation Center, Inc. in Fort Wayne - Developmental Disabilities
Interdisciplinary Diagnostic And Evaluation Center, Inc. - NPI 1093938102
Interdisciplinary Diagnostic And Evaluation Center, Inc. is a Developmental Disabilities in Fort Wayne, Indiana. Interdisciplinary Diagnostic And Evaluation Center, Inc. practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for Interdisciplinary Diagnostic And Evaluation Center, Inc. is 1093938102. The last update date is 2008-06-17.
Interdisciplinary Diagnostic And Evaluation Center, Inc.'s current location address is 3030 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604222838. The mailing address for Interdisciplinary Diagnostic And Evaluation Center, Inc. is 3030 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interdisciplinary Diagnostic And Evaluation Center, Inc. |
|---|---|
| Address | 3030 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604222838 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Nathan Marilyn |
| Credentials | PH.D. |
| Telephone Number | 7652849573 |
NPI Number Detail
| NPI Number | 1093938102 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 3030 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055428 |
| Phone Number | 2604222838 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
|
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Interdisciplinary Diagnostic And Evaluation Center, Inc. by the Centers for Medicare & Medicaid Services?
The Interdisciplinary Diagnostic And Evaluation Center, Inc. has been issued the NPI (National Provider Identifier) 1093938102 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Interdisciplinary Diagnostic And Evaluation Center, Inc. is located?
The Interdisciplinary Diagnostic And Evaluation Center, Inc. is situated at the following address: 3030 Lake Ave, Fort Wayne, IN, 468055428.
What is Interdisciplinary Diagnostic And Evaluation Center, Inc.'s area of expertise and its corresponding taxonomy classification?
The Interdisciplinary Diagnostic And Evaluation Center, Inc.'s field of specialization is Developmental Disabilities, and it falls under the taxonomy code 261Qd1600X, which categorizes healthcare providers based on their areas of practice.
When did Interdisciplinary Diagnostic And Evaluation Center, Inc. receive its 1093938102 assignment?
The Interdisciplinary Diagnostic And Evaluation Center, Inc. was assigned its 1093938102 on 2007-04-10, which is the date when this unique identifier was issued to the organization.
When was the information regarding Interdisciplinary Diagnostic And Evaluation Center, Inc. most recently updated?
The details pertaining to the Interdisciplinary Diagnostic And Evaluation Center, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-06-17.
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