Organization · Type 2 NPI

Clinical & Forensic Psychological Services of Indiana, P.c.

Clinical Psychologist · Fort Wayne, IN

NPI number 1821208000 Active

Practice location

4630 W Jefferson Blvd, Suite 5
Fort Wayne, IN 46804-6856

Call (260) 436-4100 Map

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 1821208000

Clinical & Forensic Psychological Services of Indiana, P.c.'s National Provider Identifier is 1821208000, issued on May 23, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 3, 2008.