Kadlec Consulting Services, LLC
Psychologist, Clinical in Fort Wayne, IN. Organization (NPI-2).
NPI number1164052791
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1164052791
- Entity type
- Organization (NPI-2)
- Legal business name
- Kadlec Consulting Services, LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
5525 Oak Valley PlFort Wayne, IN 46845-1836
Phone 260-207-4632 · Fax 260-373-1933
Mailing address
5525 Oak Valley PlFort Wayne, IN 46845-1836
Phone 260-207-4632 · Fax 260-373-1933
Authorized official
Mary M Kadlec
Psychologist
2602074632
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