Fawver Waldo Clinic Llp in Fort Wayne - Adolescent And Children Mental Health
Fawver Waldo Clinic Llp - NPI 1174536346
Fawver Waldo Clinic Llp is a Adolescent And Children Mental Health in Fort Wayne, Indiana. Fawver Waldo Clinic Llp practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Fawver Waldo Clinic Llp is 1174536346. The last update date is 2020-08-22.
Fawver Waldo Clinic Llp's current location address is 6920 Pointe Inverness Way, Fort Wayne, Indiana. You can contact this provider via phone number 2604364060 and fax number 2604365713. The mailing address for Fawver Waldo Clinic Llp is 6920 Pointe Inverness Way, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fawver Waldo Clinic Llp |
|---|---|
| Address | 6920 Pointe Inverness Way, Fort Wayne, Indiana |
| Phone Number | 2604364060 |
| Fax Number | 2604365713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Fawver D Jay |
| Credentials | MD |
| Telephone Number | 2604364060 |
NPI Number Detail
| NPI Number | 1174536346 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6920 Pointe Inverness Way |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047926 |
| Phone Number | 2604364060 |
| Fax Number | 2604365713 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD0871 | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Fawver Waldo Clinic Llp by the Centers for Medicare & Medicaid Services (CMS)?
The Fawver Waldo Clinic Llp has been assigned the NPI (National Provider Identifier) 1174536346. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Fawver Waldo Clinic Llp is geographically located?
The Fawver Waldo Clinic Llp is physically situated at the following location: 6920 Pointe Inverness Way, Fort Wayne, IN, 468047926.
What is Fawver Waldo Clinic Llp'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 Fawver Waldo Clinic Llp is Adolescent And Children Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0855X.
When was the Fawver Waldo Clinic Llp's 1174536346 issued?
The Fawver Waldo Clinic Llp's 1174536346 was issued on 2006-08-15.
When was the information related to Fawver Waldo Clinic Llp most recently updated or refreshed?
The details pertaining to the Fawver Waldo Clinic Llp, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.