| Paytons Place, Llc | |
|
409 East Cook Rd Suite 100 Fort Wayne IN 46825 | |
| (260) 498-9933 | |
| Not Available |
| Full Name | Paytons Place, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 409 East Cook Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Marla Souder (OWNER/PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 2604989933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paytons Place, Llc 2599 County Road 72 Auburn IN 46706 Ph: (260) 498-9933 | Paytons Place, Llc 409 East Cook Rd Suite 100 Fort Wayne IN 46825 Ph: (260) 498-9933 |
| NPI Number | 1104247337 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 12/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104247337 | NPI | - | NPPES |
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