Organization
HEARTLAND CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS WAYNE EDWARDS PHD, LMFT (PRESIDENT)
(765) 446-9898
Entity
Organization
Contact information
Practice address
2201 FERRY ST, LAFAYETTE, IN 47904-3047
(765) 446-9898
(765) 446-9424
Mailing address
2201 FERRY ST, LAFAYETTE, IN 47904-3047
(765) 446-9898
(765) 446-9424
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001121A
IN
Other
Enumeration date
05/18/2006
Last updated
07/16/2008
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