Fort Wayne Neuropsychology LLC
Fort Wayne Neuropsychology LLC is a Clinical Neuropsychologist in Fort Wayne, Indiana. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4306 E State BlvdFort Wayne, IN 46815-6915
Phone: (260) 460-3100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X |
|---|---|
| Psychologist | Taxonomy 103T00000X |
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1871032862 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tasha Williams — Vice President · (260) 414-8629 |
| NPI enumerated | February 23, 2017 |
| Last updated in NPPES | February 23, 2017 |
| Mailing address | 4306 E State Blvd, Fort Wayne, IN 46815-6915 |
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Allied Physicians Inc
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Jacob Thomas Lutz, PHD
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Erin Miles, PYSD
11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 · (260) 460-3203
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Margarita M Nogin, PHD, HSPP
4306 E State Blvd, Fort Wayne, IN 46815-6915 · (260) 460-3203
-
Cathrine Short, PHD
4306 E State Blvd, Fort Wayne, IN 46815-6915 · (260) 460-3203