Clinical & Forensic Psychological Services Of Indiana, P.C.

LBN: Clinical & Forensic Psychological Services Of Indiana, P.C.
Clinical & Forensic Psychological Services Of Indiana, P.C. is an health care organization with primary practice located at 4630 W Jefferson Blvd Suite 5, Fort Wayne IN 46804-6856. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Clinical & Forensic Psychological Services Of Indiana, P.C. can be contacted via phone (260) 436-4100, or through Ross, Stephen Gerard via phone (260) 436-4100.

Contact Information

Primary practice address
4630 W Jefferson Blvd Suite 5 Fort Wayne IN 46804-6856
Phone: (260) 436-4100
Fax: (260) 432-6282
Website:
Map and Directions
Authorized official contact:
Name: Ross, Stephen Gerard PSYD
Phone: (260) 436-4100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040536A Indiana

Profile Details

NPI number 1821208000
LBN Legal business name Clinical & Forensic Psychological Services Of Indiana, P.C.
DBA Doing business as
Authorized official Ross, Stephen Gerard PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Mar 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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