Organization · NPI-2

Aberdeen Group LLC

Psychologist · Fort Wayne, IN

NPI number1124302237
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1124302237
Entity type
Organization (NPI-2)
Legal business name
Aberdeen Group LLC
Organization subpart
No
Enumeration date
Oct 7, 2011
Certification date
Mar 25, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

12948 Coldwater Rd Ste 101
Fort Wayne, IN 46845-8016

Phone 260-373-0880 · Fax 260-373-0881

Mailing address

12948 Coldwater Rd Ste 101
Fort Wayne, IN 46845-8016

Phone 260-373-0880 · Fax 260-373-0881

Authorized official

Thomas Dettmer
Psy.D. Hspp/ Owner
2603730880

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