NPI | 1649478744 |
---|---|
Doing Business As | FORT WAYNE NEUROPSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | W BARRY KUNKLE CEO 260-399-4704 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2015-01-28 |