MS. DIANNE R. STITZER (NPI# 1659400711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659400711 |
| Entity Type | Individual |
| Full Name | MS. DIANNE R. STITZER |
| Credential | M.S., L.M.F.T. |
| Practice Address |
1410 Lower Huntington Rd Fort Wayne IN 46819-1359 |
| Mailing Address |
3212 Indiana Ave Fort Wayne IN 46807-1703 |
| Practice Telephone | 2604787320 |
| Practice Fax Number | 2604787408 |
| Mailing Telephone | 2604568517 |
| Mailing Fax Number | 2604568517 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
1410 LOWER HUNTINGTON RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46819-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093030066 | Amber N Hollins | Occupational Therapy Assistant | 2027 Woodhaven Dr, Fort Wayne, IN 46819-1038 | 2010-04-02 |
| 1073610689 | Mir Abdul Karim Moshref | Family Medicine | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2006-09-19 |
| 1265863187 | Karim Moshref Md PC | Clinic/Center | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2013-12-02 |
| 1558669762 | Abigail Jordan Fulton | Physical Therapy Assistant | 6530 Maywood Cir, Fort Wayne, IN 46819-1246 | 2011-03-11 |
| 1831279447 | David K. Harrison Dds PC | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2006-10-17 |
| 1194265652 | Waseem M. Taraji | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2017-03-03 |
| 1346502713 | Keith Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2012-06-12 |
| 1720209000 | David K Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2007-05-02 |
| 1134319437 | Diann Rosellen Deutsch | Registered Nurse | 2220 Dale Dr, Fort Wayne, IN 46819-1604 | 2007-08-01 |
| 1891090783 | Balanced Counseling and Consultation | Counselor | 2211 Maplewood Rd, Fort Wayne, IN 46819-1646 | 2011-01-24 |
| Find all providers in zip 46819 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301387 | Benjamin A Cunningham | Psychologist | 1200 S Clinton St, Fort Wayne, IN 46802-3504 | 2019-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700523 | Julia Ann Edwards | Psychologist | 401 W Joliet St, Crown Point, IN 46307-3808 | 2020-11-02 |
| 1356955132 | Adam Grieve | Psychologist | 213 Buckingham Dr, Indianapolis, IN 46208-3625 | 2020-08-31 |
| 1831725498 | Alex Brewer | Psychologist | 925 N Meridian St Ste 100, Sunman, IN 47041-7771 | 2020-03-16 |
| 1174153332 | Scott Edmund Andrews | Psychologist | 105 S 225 E, Flora, IN 46929-9688 | 2020-01-16 |
| 1588208086 | Amanda Hudson | Psychologist | 8650 Columbia Ave, Munster, IN 46321-2518 | 2019-10-29 |
| 1770048811 | Jacqueline Ansburg | Psychologist | 1767 Glasgow St, Valparaiso, IN 46385-7360 | 2019-02-03 |
| 1518443829 | Rebecca Gromala | Psychologist | 8410 Wicker Ave, Saint John, IN 46373-9710 | 2018-07-19 |
| 1154807360 | Lindsey Wixson | Psychologist | 15440 Mystic Rock Dr, Carmel, IN 46033-8146 | 2018-07-11 |
| 1669981411 | Catherine Carpenter | Psychologist | 8948 Chestnut Ln, Munster, IN 46321-3224 | 2017-09-25 |
| 1942729058 | Cheryl Ann Sorrels | Psychologist | 8514 Parkview Ave, Munster, IN 46321-2032 | 2017-09-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46819 |
Please comment or provide details below to improve the information on MS. DIANNE R. STITZER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.