Whalio Doctors

NPI 1639182694

Gregory Scott Sowles, HSPPLMHCPHD

Practitioner Clinical Neuropsychologist Fort Wayne, IN

Practice location

Address
10315 Dawsons Creek Blvd STE E, Fort Wayne, IN 46825-1912
Phone
(260) 387-6340
Fax
(260) 387-6984

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20040656 (IN)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 20040656 (IN)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 39001155 (IN)

Registry record

NPI
1639182694
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Aug 2006
Record last updated
29 May 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.