Organization
NEUROPSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MUSGRAVE PH.D (PRESIDENT)
(260) 409-2099
Entity
Organization
Contact information
Practice address
1818 CAREW ST, SUITE 120, FORT WAYNE, IN 46805-4788
(260) 385-1646
(260) 436-2135
Mailing address
6435 W JEFFERSON BLVD, PMB 145, FORT WAYNE, IN 46804-6203
(260) 409-2099
(260) 436-2135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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