Indiana Professional Psychological Services, P.c. | |
6408 Constitution Dr Fort Wayne IN 46804-1558 | |
(260) 469-0090 | |
(260) 469-0091 |
Full Name | Indiana Professional Psychological Services, P.c. |
---|---|
Speciality | Psychologist - Counseling |
Location | 6408 Constitution Dr, Fort Wayne, Indiana |
Authorized Official Name and Position | Daniel Lee Baney (PSYCHOLOGIST, PRESIDENT IPPS) |
Authorized Official Contact | 2604690090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indiana Professional Psychological Services, P.c. 6408 Constitution Dr Fort Wayne IN 46804-1558 Ph: (260) 469-0090 | Indiana Professional Psychological Services, P.c. 6408 Constitution Dr Fort Wayne IN 46804-1558 Ph: (260) 469-0090 |
NPI Number | 1992974620 |
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Provider Enumeration Date | 02/27/2008 |
Last Update Date | 11/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992974620 | NPI | - | NPPES |
200450 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 20040759A (Indiana) | Primary |
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