NPI 1093774796

McGee-Lytle INC

Organisation Clinical Psychologist Fort Wayne, IN

Practice location

Address: 2020 E Washington Blvd Suite 650, Fort Wayne, IN 46803-1327
Phone: (260) 422-9800
Fax: (260) 422-9882

Authorised official

Name: Henria D McGee-Lytle
Title: Ceo
Phone: (260) 422-9800

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20040231 (IN)

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Registry record

NPI: 1093774796
Entity type: Organization
NPI issued: 21 Mar 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.