THOMAS PAUL DETTMER

FORT WAYNE, IN
NPI1750519377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  39002939A)
Enumeration Date2009-06-23
Last Update Date2010-08-26
Business Address
Dr. THOMAS PAUL DETTMER Psy.D
6223 CONSTITUTION DR
FORT WAYNE, IN 46804-1517
Phone number: 260-755-5896
Mailing Address
Dr. THOMAS PAUL DETTMER Psy.D
1614 ALABAMA AVE
FORT WAYNE, IN 46805-5012
Phone number: 260-609-7007