Organization · NPI-2

Allied Physicians INC

Clinical Neuropsychologist · Fort Wayne, IN

NPI number1649478744
StatusActive
Last updated in NPPESJan 28, 2015

Details

NPI
1649478744
Entity type
Organization (NPI-2)
Legal business name
Allied Physicians INC
Organization subpart
No
Enumeration date
Jul 10, 2007
Last updated
Jan 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical Neuropsychologist––Yes
103T00000X Psychologist––
1041C0700X Social Worker, Clinical––

Other names

  • Fort Wayne Neuropsychology (Doing Business As)

Practice location

11104 Parkview Circle Dr
Ste 110
Fort Wayne, IN 46845-1730

Phone 260-460-3100

Mailing address

11104 Parkview Circle Dr
Ste 110
Fort Wayne, IN 46845-1730

Phone 260-460-3100

Authorized official

W Barry Kunkle
Ceo
2603994704

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