FAWVER WALDO CLINIC LLP NPI 1174536346

NPI Information

FAWVER WALDO CLINIC LLP is an adult mental health clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. FAWVER WALDO CLINIC LLP NPI is 1174536346. The provider is registered as an organization entity type.

The provider's business location address is:

6920 POINTE INVERNESS WAY
SUITE 250
FORT WAYNE, IN
ZIP 46804-926
Phone: (260) 436-4060
Fax: (260) 436-5713

The provider's authorized official is Jay D Fawver .
The authorized official title is Managing Partner and has the following contact phone number (260) 436-4060.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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