| Tamara N Lombard, Phd, Llc | |
|
6201 Constitution Dr Fort Wayne IN 46804-1517 | |
| (260) 436-7131 | |
| (260) 436-5123 |
| Full Name | Tamara N Lombard, Phd, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6201 Constitution Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Tamara N Lombard (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2604367131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara N Lombard, Phd, Llc 6201 Constitution Dr Fort Wayne IN 46804-1517 Ph: (260) 436-7131 | Tamara N Lombard, Phd, Llc 6201 Constitution Dr Fort Wayne IN 46804-1517 Ph: (260) 436-7131 |
| NPI Number | 1659859619 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659859619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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