Whalio Doctors

NPI 1104247337

Paytons Place, LLC

Organisation Clinical Psychologist Fort Wayne, IN

Practice location

Address
409 East Cook Rd Suite 100, Fort Wayne, IN 46825
Phone
(260) 498-9933
Mailing address
2599 County Road 72, Auburn, IN 46706

Authorised official

Name
Marla Souder
Title
Owner/President/Psychologist
Phone
(260) 498-9933

Registered specialties (8)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20042225A (IN)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Developmental Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1104247337
Entity type
Organization
NPI issued
13 Dec 2013
Record last updated
13 Dec 2013

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.