| Professional Psychiatric Services, Llc | |
|
6203 Constitution Dr Fort Wayne IN 46804-1517 | |
| (260) 969-9696 | |
| (260) 969-7979 |
| Full Name | Professional Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6203 Constitution Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | S. Christopher Shim (PRESIDENT) |
| Authorized Official Contact | 2606151216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychiatric Services, Llc 11012 W Sycamore Hills Dr Fort Wayne IN 46814-9308 Ph: (260) 969-9696 | Professional Psychiatric Services, Llc 6203 Constitution Dr Fort Wayne IN 46804-1517 Ph: (260) 969-9696 |
| NPI Number | 1407166077 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407166077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Indiana) | Primary |
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