Individual
DR. WAYNE JAMES VON BARGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1910 SAINT JOE CENTER RD, SUITE 44, FORT WAYNE, IN 46825-5000
(260) 471-8033
(260) 471-8107
Mailing address
1910 SAINT JOE CENTER RD, SUITE 44, FORT WAYNE, IN 46825-5000
(260) 471-8033
(260) 471-8107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010203A
IN
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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