Interdisciplinary Diagnostic & Evaluation Center, Inc.
Mental Retardation & Developmental Disabilities - Psychology Clinic
3030 Lake Ave Ste 7, Ft. Wayne, Fort Wayne
Indiana, 46805-5428
260-422-2838 Maps & DirectionsInterdisciplinary Diagnostic & Evaluation Center, Inc. is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Fort Wayne, Indiana. It is located at 3030 Lake Ave Ste 7, Ft. Wayne, Fort Wayne, IN and its contact number is 260-422-2838. The authorized person for Interdisciplinary Diagnostic & Evaluation Center, Inc. is Dr. Patsy A. Donn
who is President And Cfo of the clinic and his/her contact number is 260-422-2838. The primary license number for Interdisciplinary Diagnostic & Evaluation Center, Inc. is 20090014A (Mental Retardation & Developmental Disabilities) in Indiana.
Interdisciplinary Diagnostic & Evaluation Center, Inc. Clinic
Complete Clinic Profile:
Interdisciplinary Diagnostic & Evaluation Center, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Interdisciplinary Diagnostic & Evaluation Center, Inc. |
| Specialization: | Mental Retardation & Developmental Disabilities Psychology |
| Clinic Address: | 3030 Lake Ave Ste 7, Ft. Wayne, Fort Wayne,
Indiana, 46805-5428 |
| Phone: | 260-422-2838 |
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: | Dr. Patsy A. Donn |
| Position: | President And Cfo |
| Contact Number: | 260-422-2838 |
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 Interdisciplinary Diagnostic & Evaluation Center, Inc. clinic are as mentioned below.
| NPI Number: | 1134395510 |
| NPI Enumeration Date: | 05 May, 2008 |
| NPI Last Update On: | 05 May, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Interdisciplinary Diagnostic & Evaluation Center, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Mental Retardation & Developmental Disabilities | 20090014A | Indiana | Primary | |
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 |
| 100080770 A | 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: | Interdisciplinary Diagnostic & Evaluation Center, Inc.
3030 Lake Ave Ste 7, Ft. Wayne
Fort Wayne, Indiana |
| Zip: | 46805-5428 |
| Phone Number: | 260-422-2838 |
Patients can reach Interdisciplinary Diagnostic & Evaluation Center, Inc. at
3030 Lake Ave Ste 7, Ft. Wayne, Fort Wayne, Indiana or can
call to book an appointment on 260-422-2838.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.