Cedar Creek Psychological Services LLC
NPI #1316542830 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1316542830
- Entity Type
- Organization
- Organization Name
- Cedar Creek Psychological Services LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 1235 OAK TRAIL CT
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-6120
- Phone
- (260) 348-8031
Authorized Official
- Name
- MATTHEW ROBERT MOELLER
- Title
- OWNER
- Phone
- (260) 348-8031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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