| Vision Counseling And Psychological Services, Pc | |
|
10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 | |
| (260) 387-6340 | |
| (260) 387-6984 |
| Full Name | Vision Counseling And Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 10315 Dawsons Creek Blvd Ste E, Fort Wayne, Indiana |
| Authorized Official Name and Position | Gregory Scott Sowles (PSYCHOLOGIST /PRESIDENT) |
| Authorized Official Contact | 2603876340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Counseling And Psychological Services, Pc 10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 Ph: (260) 387-6340 | Vision Counseling And Psychological Services, Pc 10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 Ph: (260) 387-6340 |
| NPI Number | 1609059146 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 5799845236 |
|---|---|
| Medicare Enrollment ID | O20081113000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609059146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gregory S Sowles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639182694 PECOS PAC ID: 9638129968 Enrollment ID: I20081118000742 |
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