Individual provider · Type 1 NPI

Stephen Gerard Ross, PSYD

Clinical Psychologist · Fort Wayne, IN

NPI number 1467458695 Active · reactivated Mar 31, 2006

Practice location

4630 W Jefferson Blvd Ste 5
Fort Wayne, IN 46804-6800

Fax (260) 432-6282

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20040536A (IN)

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 1467458695

Stephen Gerard Ross, PSYD's National Provider Identifier is 1467458695, issued on Jun 22, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 14, 2008.