Organization
HUTNER, INC.
Active
Other names
The Ivy Group of Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DOUGLAS HUTNER PSY.D., HSPP (PRESIDENT)
(260) 341-5848
Entity
Organization
Contact information
Practice address
3240 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 341-5848
(260) 755-5927
Mailing address
3240 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 341-5848
(260) 755-5927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041381A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266510
—
IN
05
—
200288980
—
IN
05
—
200412990-A
—
IN
Enumeration date
01/02/2007
Last updated
01/31/2014
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