Organization · Type 2 NPI

Paytons Place, LLC

Clinical Psychologist · Fort Wayne, IN

NPI number 1104247337 Active

Practice location

409 East Cook Rd, Suite 100
Fort Wayne, IN 46825

Mailing address

2599 County Road 72
Auburn, IN 46706

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20042225A (IN)
Case Manager/Care Coordinator 171M00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Developmental Therapist 222Q00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104247337

Paytons Place, LLC's National Provider Identifier is 1104247337, issued on Dec 13, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 13, 2013.