| Ne Psychological Llc | |
|
6343 Constitution Dr Fort Wayne IN 46804-1547 | |
| (260) 704-5305 | |
| (260) 572-2679 |
| Full Name | Ne Psychological Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6343 Constitution Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Paula Neuman (OWNER) |
| Authorized Official Contact | 2607045305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ne Psychological Llc 6343 Constitution Dr Fort Wayne IN 46804-1547 Ph: (260) 704-5305 | Ne Psychological Llc 6343 Constitution Dr Fort Wayne IN 46804-1547 Ph: (260) 704-5305 |
| NPI Number | 1457998007 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 12/03/2019 |
| Medicare PECOS PAC ID | 6305270729 |
|---|---|
| Medicare Enrollment ID | O20191218000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457998007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Paula A Neuman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144555855 PECOS PAC ID: 5890975148 Enrollment ID: I20110203001066 |
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