NPI 1366911000

Margarita M Nogin, PHDHSPP

Practitioner Clinical Neuropsychologist Fort Wayne, IN

Practice location

Address: 4306 E State Blvd, Fort Wayne, IN 46815-6915
Phone: (260) 460-3203

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20043144A (IN)

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Registry record

NPI: 1366911000
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2018
Record last updated: 23 Nov 2018

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.