Organization
DAVID N LOMBARD, PH.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N LOMBARD PH.D (PRESIDENT/OWNER)
(260) 459-2900
Entity
Organization
Contact information
Practice address
3242 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 459-2900
(260) 459-2901
Mailing address
3242 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 459-2900
(260) 459-2901
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200342760
—
IN
Enumeration date
06/21/2010
Last updated
06/21/2010
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