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1750519377
THOMAS PAUL DETTMER
FORT WAYNE, IN
NPI
1750519377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 39002939A)
Enumeration Date
2009-06-23
Last Update Date
2010-08-26
Business Address
Dr. THOMAS PAUL DETTMER Psy.D
6223 CONSTITUTION DR
FORT WAYNE, IN 46804-1517
Phone number: 260-755-5896
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Mailing Address
Dr. THOMAS PAUL DETTMER Psy.D
1614 ALABAMA AVE
FORT WAYNE, IN 46805-5012
Phone number: 260-609-7007
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