Organization
CORNERSTONE COUNSELING & CONSULTING, P.C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PAUL HECK PH.D. (PRESIDENT)
(260) 387-6340
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD, SUITE F, FORT WAYNE, IN 46825-1912
(260) 387-6340
Mailing address
10315 DAWSONS CREEK BLVD, SUITE F, FORT WAYNE, IN 46825-1912
(260) 387-6340
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041203A
IN
103TC1900X
Counseling Psychologist
5386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175606
BLUE CROSS BLUE SHIELD
IN
01
—
0007772138
AETNA
IN
01
—
279625278002
MEDICAL MUTUAL OF OHIO
IN
Enumeration date
03/14/2008
Last updated
01/14/2016
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