WAYNE PETERSON STEPHAN LMHC NPI 1427289610

NPI Information

NPI: 1427289610
Provider Name: WAYNE PETERSON STEPHAN, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10016 MONTICELLO BLVD
FORT WAYNE, IN
ZIP 46825
Phone: (260) 388-3765
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Wayne Peterson Stephan, LMHC is a mental health counselor in Fort Wayne, IN. Wayne Peterson Stephan, LMHC NPI is 1427289610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10016 MONTICELLO BLVD
FORT WAYNE, IN
ZIP 46825-193
Phone: (260) 388-3765

The enumeration date for this NPI number is 8/5/2009 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	39004844A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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