Unknown Individual – Clinical Psychologist, NPI 1265542856
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2805, Fairfield Avenue, Fort Wayne, Allen County, Indiana, 46807, United States
FORT WAYNE, IN 468071218
Phone: (260) 456-4880
Fax: (260) 456-3559
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46807)
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