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Dr. Susan Ann Dwyer, PHDCLINICALPSYCHOL
Health Service Psychologist in Fort Wayne, Indiana
NPI 1508865650

Susan Ann Dwyer is a Health Service Psychologist based in Fort Wayne, IN and is specialized in Health Service. Susan Ann Dwyer practices in Fort Wayne, IN and has the professional credentials of PHDCLINICALPSYCHOL. The NPI Number for Susan Ann Dwyer is 1508865650 and holds a License No. 20041233 (Indiana).

The current practice location address for Susan Ann Dwyer is 203W Wayne St 317, Fort Wayne, IN and can be reached out via phone at 260-413-0040 and via fax at 260-344-2820. You can also correspond with Susan Ann Dwyer through the mailing address at 1702 GLEN ELM DR, FORT WAYNE, IN - 46845-9672 (mailing address contact number: 260-413-0040).

Location: 203W Wayne St 317, Fort Wayne, IN, 46845-9672
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Provider Profile Details
NPI Number
1508865650
Provider Name
Susan Ann Dwyer
Credential
PHDCLINICALPSYCHOL
Provider Entity Type
Individual
Gender
Female
Address
203W Wayne St 317, Fort Wayne, IN, 46845-9672
Phone Number
260-413-0040
Fax Number
260-344-2820
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200142310 05 IN
institution
Provider Business Practice Location Address Details
Address
203W Wayne St 317
City
State
Zip
46802-3610
Phone Number
260-413-0040
Fax Number
260-344-2820
person
Provider Business Mailing Address Details
Address
1702 Glen Elm Dr
City
State
Zip
46845-9672
Phone Number
260-413-0040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
20041233 (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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