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Gregory Scott Sowles, HSPPLMHCPHD
Mental Health Counselor in Fort Wayne, Indiana
NPI 1639182694

Gregory Scott Sowles is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Gregory Scott Sowles practices in Fort Wayne, IN and has the professional credentials of HSPPLMHCPHD. The NPI Number for Gregory Scott Sowles is 1639182694 and holds a License No. 20040656 (Indiana).

The current practice location address for Gregory Scott Sowles is 10315 Dawsons Creek Blvd Ste E, Fort Wayne, IN and can be reached out via phone at 260-387-6340 and via fax at 260-387-6984.

Location: 10315 Dawsons Creek Blvd Ste E, Fort Wayne, IN, 46825-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639182694
Provider Name
Gregory Scott Sowles
Credential
HSPPLMHCPHD
Provider Entity Type
Individual
Gender
Male
Address
10315 Dawsons Creek Blvd Ste E, Fort Wayne, IN, 46825-1912
Phone Number
260-387-6340
Fax Number
260-387-6984
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
258620 01 IN VISION MEDICARE GROUP NO
200905570A 01 IN MEDICAID VISION' GROUP NO.
200380270 05 IN
institution
Provider Business Practice Location Address Details
Address
10315 Dawsons Creek Blvd Ste E
City
Fort Wayne
State
Indiana
Zip
46825-1912
Phone Number
260-387-6340
Fax Number
260-387-6984
person
Provider Business Mailing Address Details
Address
10315 Dawsons Creek Blvd Ste E
City
Fort Wayne
State
Indiana
Zip
46825-1912
Phone Number
260-387-6340
Fax Number
260-387-6984
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39001155 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
20040656 (Indiana)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
20040656 (Indiana)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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