Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interdisciplinary Diagnostic and Evaluation Center, Inc

Organization Developmental Disabilities Clinic/Center · NPI 1093938102

Interdisciplinary Diagnostic and Evaluation Center, Inc is a Developmental Disabilities Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3030 Lake Ave Ste 7
Fort Wayne, IN 46805-5428
Phone: (260) 422-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1093938102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Nathan — Clinical Director · (765) 284-9573
NPI enumeratedApril 10, 2007
Last updated in NPPESJune 17, 2008
Mailing address3030 Lake Ave, Suite 7, Fort Wayne, IN 46805-5428

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