| Mcgee-lytle Inc | |
|
2020 E Washington Blvd Suite 650 Fort Wayne IN 46803-1327 | |
| (260) 422-9800 | |
| (260) 422-9882 |
| Full Name | Mcgee-lytle Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2020 E Washington Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Henria D Mcgee-lytle (CEO) |
| Authorized Official Contact | 2604229800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcgee-lytle Inc 2020 E Washington Blvd Suite 650 Fort Wayne IN 46803-1327 Ph: (260) 422-9800 | Mcgee-lytle Inc 2020 E Washington Blvd Suite 650 Fort Wayne IN 46803-1327 Ph: (260) 422-9800 |
| NPI Number | 1093774796 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093774796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20040231 (Indiana) | Primary |
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