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Fawver Waldo Clinic Llp
Adolescent and Children Mental Health Clinic/Center in Fort Wayne, Indiana
NPI 1174536346

Fawver Waldo Clinic Llp is an Adolescent and Children Mental Health Clinic/Center based in Fort Wayne, IN and is specialized in Adolescent and Children Mental Health. Fawver Waldo Clinic Llp practices in Fort Wayne, IN. The NPI Number for Fawver Waldo Clinic Llp is 1174536346 and holds a License No. (Indiana).

The current practice location address for Fawver Waldo Clinic Llp is 6920 Pointe Inverness Way, Fort Wayne, IN and can be reached out via phone at 260-436-4060 and via fax at 260-436-5713.

Location: 6920 Pointe Inverness Way, Fort Wayne, IN, 46804-7926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174536346
Provider Name
Fawver Waldo Clinic Llp
Credential
Provider Entity Type
Organization
Address
6920 Pointe Inverness Way, Fort Wayne, IN, 46804-7926
Phone Number
260-436-4060
Fax Number
260-436-5713
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD0871 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
6920 Pointe Inverness Way
City
Fort Wayne
State
Indiana
Zip
46804-7926
Phone Number
260-436-4060
Fax Number
260-436-5713
person
Provider Business Mailing Address Details
Address
6920 Pointe Inverness Way
City
Fort Wayne
State
Indiana
Zip
46804-7926
Phone Number
260-436-4060
Fax Number
260-436-5713
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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