Therese C Mihlbauer, Ph.D., Inc

LBN: Therese C Mihlbauer, Ph.D., Inc
Therese C Mihlbauer, Ph.D., Inc is an health care organization with primary practice located at 4656 W Jefferson Blvd Suite 200, Fort Wayne IN 46804-6857. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Therese C Mihlbauer, Ph.D., Inc can be contacted via phone (260) 969-0915, or through Mihlbauer, Therese C via phone (260) 969-0915.

Contact Information

Primary practice address
4656 W Jefferson Blvd Suite 200 Fort Wayne IN 46804-6857
Phone: (260) 969-0915
Fax: (260) 969-0917
Website:
Map and Directions
Authorized official contact:
Name: Mihlbauer, Therese C PH.D.
Phone: (260) 969-0915

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1770561847
LBN Legal business name Therese C Mihlbauer, Ph.D., Inc
DBA Doing business as
Authorized official Mihlbauer, Therese C PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770561847 NPPES
Indiana MEDICAID 100081280
Indiana MEDICAID 200730270
Indiana MEDICAID 200667860

Popular Providers