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

Interdisciplinary Diagnostic & Evaluation Center, Inc

Organization Intellectual & Developmental Disabilities Psychologist · NPI 1134395510

Interdisciplinary Diagnostic & Evaluation Center, Inc is an Intellectual & Developmental Disabilities Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
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 FT Wayne
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

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence 20090014A (IN)

Record details

NPI number1134395510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patsy Donn — President And Cfo · (260) 422-2838
NPI enumeratedMay 5, 2008
Last updated in NPPESMay 5, 2008
Mailing address3030 Lake Ave Ste 7, Ft. Wayne, Fort Wayne, IN 46805-5428