institution
Interdisciplinary Diagnostic & Evaluation Center, Inc.
Intellectual & Developmental Disabilities Psychologist in Fort Wayne, Indiana
NPI 1134395510

Interdisciplinary Diagnostic & Evaluation Center, Inc. is a Intellectual & Developmental Disabilities Psychologist based in Fort Wayne, IN and is specialized in Intellectual & Developmental Disabilities. Interdisciplinary Diagnostic & Evaluation Center, Inc. practices in Fort Wayne, IN. The NPI Number for Interdisciplinary Diagnostic & Evaluation Center, Inc. is 1134395510 and holds a License No. 20090014A (Indiana).

The current practice location address for Interdisciplinary Diagnostic & Evaluation Center, Inc. is 3030 Lake Ave Ste 7, Fort Wayne, IN and can be reached out via phone at 260-422-2838. You can also correspond with Interdisciplinary Diagnostic & Evaluation Center, Inc. through the mailing address at 3030 LAKE AVE STE 7, FORT WAYNE, IN - 46805-5428 (mailing address contact number: 260-422-2838).

Location: 3030 Lake Ave Ste 7, Fort Wayne, IN, 46805-5428
institution
Provider Profile Details
NPI Number
1134395510
Provider Name
Interdisciplinary Diagnostic & Evaluation Center, Inc.
Credential
Provider Entity Type
Organization
Address
3030 Lake Ave Ste 7, Fort Wayne, IN, 46805-5428
Phone Number
260-422-2838
Fax Number
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100080770 A 05 IN
institution
Provider Business Practice Location Address Details
Address
3030 Lake Ave Ste 7
City
State
Zip
46805-5428
Phone Number
260-422-2838
Fax Number
person
Provider Business Mailing Address Details
Address
3030 Lake Ave Ste 7
City
State
Zip
46805-5428
Phone Number
260-422-2838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
20090014A (Indiana)
Definition
Definition to come...
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