Fort Wayne Neuropsychology Llc

LBN: Fort Wayne Neuropsychology Llc
Fort Wayne Neuropsychology Llc is an health care organization with primary practice located at 4306 E State Blvd , Fort Wayne IN 46815-6915. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Fort Wayne Neuropsychology Llc can be contacted via phone (260) 460-3100, or through Williams, Tasha H. via phone (260) 414-8629.

Contact Information

Primary practice address
4306 E State Blvd Fort Wayne IN 46815-6915
Phone: (260) 460-3100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Tasha H. PH.D.
Phone: (260) 414-8629

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1871032862
LBN Legal business name Fort Wayne Neuropsychology Llc
DBA Doing business as
Authorized official Williams, Tasha H. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2017
Last updated Feb 23rd, 2017 - about 7 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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