Interdisciplinary Diagnostic and Evaluation Center, Inc.

NPI #1093938102 in Fort Wayne, Indiana

Provider Information

NPI Number
1093938102
Entity Type
Organization
Organization Name
Interdisciplinary Diagnostic and Evaluation Center, Inc.
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Apr 10, 2007
Last Updated
Jun 17, 2008

Practice Location

Address
3030 LAKE AVE
Address 2
SUITE 7
State
Indiana
ZIP Code
46805-5428
Phone
(260) 422-2838

Authorized Official

Name
MARILYN NATHAN, PH.D.
Title
CLINICAL DIRECTOR
Phone
(765) 284-9573

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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