| Wieland & Associates, Inc. | |
|
11123 Parkview Plaza Dr Suite 200 Fort Wayne IN 46845 | |
| (260) 672-6510 | |
| (260) 672-6501 |
| Full Name | Wieland & Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 11123 Parkview Plaza Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Kevin Lee Wieland (PRESIDENT) |
| Authorized Official Contact | 2604837207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wieland & Associates, Inc. 1415 Magnavox Way Suite 120 Fort Wayne IN 46804-1553 Ph: (260) 483-7207 | Wieland & Associates, Inc. 11123 Parkview Plaza Dr Suite 200 Fort Wayne IN 46845 Ph: (260) 672-6510 |
| NPI Number | 1114341559 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114341559 | NPI | - | NPPES |
| 200360310A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20041419A (Indiana) | Primary |
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