Individual
DANIELLE R WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2709
Mailing address
2121 WEST LAKE AVE., FORT WAYNE, IN 46805
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
99031002A
IN
Other
Enumeration date
08/05/2008
Last updated
03/27/2013
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