The Ivy Group Of Fort Wayne is a Psychology Clinic in Fort Wayne, Indiana. It is located at 3240 Mallard Cove Ln, Fort Wayne, IN and its contact number is 260-341-5848. The authorized person for The Ivy Group Of Fort Wayne is Dr. Brian Douglas Hutner
who is President of the clinic and his/her contact number is 260-341-5848. The primary license number for The Ivy Group Of Fort Wayne is 20041381A (Psychologist) in Indiana. The Ivy Group Of Fort Wayne Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
The Ivy Group Of Fort Wayne Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
The Ivy Group Of Fort Wayne
Specialization:
General Psychology
Clinic Address:
3240 Mallard Cove Ln, Fort Wayne, Indiana, 46804-2883
Phone:
260-341-5848
Fax:
260-755-5927
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. Brian Douglas Hutner
Position:
President
Contact Number:
260-341-5848
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 The Ivy Group Of Fort Wayne clinic are as mentioned below.
NPI Number:
1720145774
NPI Enumeration Date:
02 Jan, 2007
NPI Last Update On:
31 Jan, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Ivy Group Of Fort Wayne are as mentioned below.
Specialization
License Number
State
Status
Psychologist
20041381A
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
200266510
Medicaid
Indiana
200412990-A
Medicaid
Indiana
200288980
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:
The Ivy Group Of Fort Wayne 3240 Mallard Cove Ln, Fort Wayne, Indiana
Zip:
46804-2883
Phone Number:
260-341-5848
Fax Number:
260-755-5927
Patients can reach The Ivy Group Of Fort Wayne at 3240 Mallard Cove Ln, Fort Wayne, Indiana or can call to book an appointment on 260-341-5848. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.