Organization
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S. CHRISTOPHER SHIM M.D. (PRESIDENT)
(260) 615-1216
Entity
Organization
Contact information
Practice address
6203 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 969-9696
(260) 969-7979
Mailing address
11012 W SYCAMORE HILLS DR, FORT WAYNE, IN 46814-9308
(260) 969-9696
(260) 969-7979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IN
Other
Enumeration date
10/18/2010
Last updated
02/01/2013
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