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Indiana Psychiatric Associates Llc
Medical Specialty Clinic/Center in Fort Wayne, Indiana
NPI 1942972047

Indiana Psychiatric Associates Llc is a Medical Specialty Clinic/Center based in Fort Wayne, IN and is specialized in Medical Specialty. Indiana Psychiatric Associates Llc practices in Fort Wayne, IN. The NPI Number for Indiana Psychiatric Associates Llc is 1942972047 and holds a License No. (Indiana).

The current practice location address for Indiana Psychiatric Associates Llc is 4656 W Jefferson Blvd Ste 201, Fort Wayne, IN and can be reached out via phone at 978-000-0001.

Location: 4656 W Jefferson Blvd Ste 201, Fort Wayne, IN, 46804-6857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942972047
Provider Name
Indiana Psychiatric Associates Llc
Credential
Provider Entity Type
Organization
Address
4656 W Jefferson Blvd Ste 201, Fort Wayne, IN, 46804-6857
Phone Number
978-000-0001
Fax Number
Provider Enumeration Date
09/28/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4656 W Jefferson Blvd Ste 201
City
Fort Wayne
State
Indiana
Zip
46804-6857
Phone Number
978-000-0001
Fax Number
person
Provider Business Mailing Address Details
Address
4656 W Jefferson Blvd Ste 201
City
Fort Wayne
State
Indiana
Zip
46804-6857
Phone Number
978-000-0001
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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