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

Mr. Jonathan Alvin Tiedeman, SCHOOLPSYCHOLOGIST

Individual provider School Psychologist · NPI 1528545357

Mr. Jonathan Alvin Tiedeman, SCHOOLPSYCHOLOGIST is a School Psychologist in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1200 Barr St
Fort Wayne, IN 46802-3502
Phone: (260) 467-1145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Simoni Ranch Rd, Oakley, CA 94561-2787 — (925) 625-7070

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X
School Psychologist Taxonomy 103TS0200X · Licence 10068586 (IN)

Record details

NPI number1528545357
Entity typeIndividual (Type 1)
GenderMale
Credentials SCHOOLPSYCHOLOGIST
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Other providers in Fort Wayne