| Sycamore Psychological, Llc | |
|
4630 W Jefferson Blvd Ste 3 Fort Wayne IN 46804-6800 | |
| (260) 238-0318 | |
| Not Available |
| Full Name | Sycamore Psychological, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4630 W Jefferson Blvd Ste 3, Fort Wayne, Indiana |
| Authorized Official Name and Position | Jenifer Schutte (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2604462246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Psychological, Llc 11403 Schwartz Rd Fort Wayne IN 46835-9738 Ph: (260) 446-2246 | Sycamore Psychological, Llc 4630 W Jefferson Blvd Ste 3 Fort Wayne IN 46804-6800 Ph: (260) 238-0318 |
| NPI Number | 1548921604 |
|---|---|
| Provider Enumeration Date | 12/31/2021 |
| Last Update Date | 12/31/2021 |
| Certification Date | 12/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548921604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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