Organization · Type 2 NPI

Life Stages Therapy Center, Inc

Clinical Psychologist · Fort Wayne, IN

NPI number 1376974378 Active

Practice location

409 E Cook Rd, Suite 100
Fort Wayne, IN 46825-3600

Call (260) 498-9933 Map

Mailing address

2599 County Road 72
Auburn, IN 46706-9624

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Psychologist Primary 103TC0700X20042225A (IN)
School Psychologist 103TS0200XNone listed
Social Worker 104100000XNone listed
Marriage & Family Therapist 106H00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
General Practice Physician 208D00000XNone listed
Developmental Therapist 222Q00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Community/Behavioral Health Agency 251S00000XNone 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 1376974378

Life Stages Therapy Center, Inc's National Provider Identifier is 1376974378, issued on Dec 2, 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 2, 2013.