Interdisciplinary 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.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.