Fort Wayne Neuropsychology is a Counselor Clinic in Fort Wayne, Indiana. It is located at 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN and its contact number is 260-460-3100. The authorized person for Fort Wayne Neuropsychology is W Barry Kunkle
who is Ceo of the clinic and his/her contact number is 260-399-4704. Fort Wayne Neuropsychology Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Fort Wayne Neuropsychology Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fort Wayne Neuropsychology
Specialization:
Clinical Neuropsychologist
Clinic Address:
11104 Parkview Circle Dr, Ste 110, Fort Wayne, Indiana, 46845-1730
Phone:
260-460-3100
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
W Barry Kunkle
Position:
Ceo
Contact Number:
260-399-4704
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fort Wayne Neuropsychology clinic are as mentioned below.
NPI Number:
1649478744
NPI Enumeration Date:
10 Jul, 2007
NPI Last Update On:
28 Jan, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fort Wayne Neuropsychology are as mentioned below.
Specialization
License Number
State
Status
Clinical Neuropsychologist
Primary
Psychologist
Secondary
Clinical
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0515955
Medicaid
Ohio
CC1549
Other
Indiana
Railroad Medicare
100277310
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fort Wayne Neuropsychology 11104 Parkview Circle Dr, Ste 110 Fort Wayne, Indiana
Zip:
46845-1730
Phone Number:
260-460-3100
Patients can reach Fort Wayne Neuropsychology at 11104 Parkview Circle Dr, Ste 110, Fort Wayne, Indiana or can call to book an appointment on 260-460-3100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.