Organization
MIDWEST FORENSIC NEUROPSYCHOLOGICAL ASSESSMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARA W. WIELAND (PRESIDENT)
(260) 224-1798
Entity
Organization
Contact information
Practice address
1415 MAGNAVOX WAY STE 130, FORT WAYNE, IN 46804-1553
(260) 484-4234
(260) 483-0836
Mailing address
1415 MAGNAVOX WAY STE 130, FORT WAYNE, IN 46804-1553
(260) 484-4234
(260) 483-0836
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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