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Contact Information

NEUROPSYCHIATRIC ASSOCIATES, PC
2410 N GLENDALE DR STE A
FORT WAYNE, IN46804-8909
 Phone: 260-432-5181
 Fax: 260-432-5692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for NEUROPSYCHIATRIC ASSOCIATES PC · (Female)

NPI Number 1316940851
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2005
Last updated 02/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50003238A
  • IN Medicaid 200264390
  • Other 136248000 MAGELLAN GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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