Fawver Waldo Clinic LLP
NPI #1174536346 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1174536346
- Entity Type
- Organization
- Organization Name
- Fawver Waldo Clinic LLP
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 6920 POINTE INVERNESS WAY
- Address 2
- SUITE 250
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-7926
- Phone
- (260) 436-4060
Authorized Official
- Name
- JAY D FAWVER, MD
- Title
- MANAGING PARTNER
- Phone
- (260) 436-4060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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