Life Stages Therapy Center, INC

NPI #1376974378 in Fort Wayne, Indiana

Provider Information

NPI Number
1376974378
Entity Type
Organization
Organization Name
Life Stages Therapy Center, INC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Dec 2, 2013
Last Updated
Dec 2, 2013

Practice Location

Address
409 E COOK RD
Address 2
SUITE 100
State
Indiana
ZIP Code
46825-3600
Phone
(260) 498-9933

Authorized Official

Name
DR. MARLA JEAN SOUDER, PSYD, HSPP
Title
PRESIDENT/COO
Phone
(260) 498-9933

Specialties & Taxonomy Codes

Specialty
Counselor
Psychologist - SchoolSchool
Social Worker
Marriage & Family Therapist
Case Manager/Care Coordinator
General Practice
Developmental Therapist
Physical Therapist
Occupational Therapist
Speech-Language Pathologist
Community/Behavioral Health
Psychologist - ClinicalClinical

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