Organization
MCGEE-LYTLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIA D MCGEE-LYTLE PH.D (CEO)
(260) 422-9800
Entity
Organization
Contact information
Practice address
2020 E WASHINGTON BLVD, SUITE 650, FORT WAYNE, IN 46803-1327
(260) 422-9800
(260) 422-9882
Mailing address
2020 E WASHINGTON BLVD, SUITE 650, FORT WAYNE, IN 46803-1327
(260) 422-9800
(260) 422-9882
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040231
IN
Other
Enumeration date
03/21/2006
Last updated
08/22/2020
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