| NPI | 1720145774 |
|---|---|
| Doing Business As | THE IVY GROUP OF FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | BRIAN DOUGLAS HUTNER President 260-341-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20041381A) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-01-31 |