Michael Adam Dennis PSY.D.

NPI 1639360886 - Psychologist - 103TC0700X

NPI Details
NPI 1639360886
Gender Male
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3010 E STATE BLVD
FORT WAYNE IN, 46805-4700, US
Phone (260) 471-2300
Fax
Business Location
3010 E STATE BLVD
FORT WAYNE IN, 46805-4700, US
Phone (260) 471-2300
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Indiana
License Number NA
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According to our database, Michael Adam Dennis PSY.D. NPI is 1639360886, taxonomy code is 103TC0700X and license number is NA, license state is located at Indiana. Michael Adam Dennis PSY.D. physically located at 3010 E State Blvd, Fort Wayne IN, 46805-4700. NPI Number Michael Adam Dennis PSY.D. has the Individual type.

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1639360886 NPI number is provided on an as is basis without warranty of any kind. 1639360886 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Adam Dennis PSY.D. are for informational purposes only.