| Powers Psychological Services Llc | |
|
10311 Dawsons Creek Blvd Suite F Fort Wayne IN 46825-1913 | |
| (260) 490-5800 | |
| (260) 490-8722 |
| Full Name | Powers Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10311 Dawsons Creek Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Abigail Dormire Powers (PSYCHOLOGIST) |
| Authorized Official Contact | 2604905800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powers Psychological Services Llc 10311 Dawsons Creek Blvd Suite F Fort Wayne IN 46825-1913 Ph: (260) 490-5800 | Powers Psychological Services Llc 10311 Dawsons Creek Blvd Suite F Fort Wayne IN 46825-1913 Ph: (260) 490-5800 |
| NPI Number | 1912121070 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163519687 |
|---|---|
| Medicare Enrollment ID | O20071031000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912121070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20040449A (Indiana) | Primary |
| Provider Name | Abigail D Powers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912080359 PECOS PAC ID: 9931204344 Enrollment ID: I20071030000336 |
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