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Individual

DR. GALEN ARTHUR YORDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2805 FAIRFIELD AVE, FORT WAYNE, IN 46807-1218
(260) 456-4880
(260) 456-3559
Mailing address
225 N SEMINOLE CIR, FORT WAYNE, IN 46807-2864
(260) 744-1682
(260) 422-1555

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20040712
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100332280
IN
Enumeration date
11/30/2006
Last updated
02/20/2008
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