Organization · Type 2 NPI
Center for Brief Therapy PC
Prescribing (Medical) Psychologist · Fort Wayne, IN
Practice location
423 Airport N. Office Park
Fort Wayne, IN 46825-6704
Fax (260) 969-5584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist | 103TH0100X | 20042050A (IN) |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 70000153A (IN) |
| Marriage & Family Therapist | 106H00000X | 35001565A (IN) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
About NPI 1285839480
Center for Brief Therapy PC's National Provider Identifier is 1285839480, issued on Jun 18, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 23, 2019.