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Individual

DR. REVATHI B BINGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.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
101YM0800X
Mental Health Counselor
39000013A
IN
103T00000X
Psychologist
00248
103TC0700X
Clinical Psychologist
Primary
20041075A
IN
103TC1900X
Counseling Psychologist
20041075A
IN

Other

Enumeration date
05/21/2006
Last updated
09/11/2025
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