| Life Stages Therapy Center, Inc | |
|
409 E Cook Rd Suite 100 Fort Wayne IN 46825-3600 | |
| (260) 498-9933 | |
| Not Available |
| Full Name | Life Stages Therapy Center, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 409 E Cook Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Marla Jean Souder (PRESIDENT/COO) |
| Authorized Official Contact | 2604989933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stages Therapy Center, Inc 2599 County Road 72 Auburn IN 46706-9624 Ph: (260) 498-9933 | Life Stages Therapy Center, Inc 409 E Cook Rd Suite 100 Fort Wayne IN 46825-3600 Ph: (260) 498-9933 |
| NPI Number | 1376974378 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376974378 | NPI | - | NPPES |
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