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

Paytons Place, LLC

Organization Clinical Psychologist · NPI 1104247337

Paytons Place, LLC is a Clinical Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 E Cook Rd Ste 100
Fort Wayne, IN 46825
Phone: (260) 498-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20042225A (IN)
Case Manager/Care Coordinator Taxonomy 171M00000X
Family Medicine Physician Taxonomy 207Q00000X
Developmental Therapist Taxonomy 222Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104247337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marla Souder — Owner/President/Psychologist · (260) 498-9933
NPI enumeratedDecember 13, 2013
Last updated in NPPESDecember 13, 2013
Mailing address2599 County Road 72, Auburn, IN 46706

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