David N Lombard, Ph.D, LLC
Psychologist, Counseling in Fort Wayne, IN. Organization (NPI-2).
NPI number1497076749
StatusActive
Last updated in NPPESJun 21, 2010
Details
- NPI
- 1497076749
- Entity type
- Organization (NPI-2)
- Legal business name
- David N Lombard, Ph.D, LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2010
- Last updated
- Jun 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 20041481A | IN | Yes |
Practice location
3242 Mallard Cove LnFort Wayne, IN 46804-2883
Phone 260-459-2900 · Fax 260-459-2901
Mailing address
3242 Mallard Cove LnFort Wayne, IN 46804-2883
Phone 260-459-2900 · Fax 260-459-2901
Authorized official
David N Lombard
President/Owner
2604592900
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