Amanda L Mayle
Clinical Psychologist
11141 Parkview Plaza Dr Ste 210
Fort Wayne
, Indiana 46845-1714
Amanda L Mayle
Clinical Psychologist
11141 Parkview Plaza Dr Ste 210
Fort Wayne
, Indiana 46845-1714
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Amanda L Mayle
- 11109 Parkview Plaza Dr # 117
- Fort Wayne, IN
- Zip : 46845-1701
- Phone :
Second Address
- Amanda L Mayle
- 11141 Parkview Plaza Dr Ste 210
- Fort Wayne, IN
- Zip : 46845-1714
- Fax : (260) 266-5409
- Phone : (260) 266-5400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 20042046A | IN |
| Y | 103TC0700X | Clinical Psychologist | 20042046A | IN |
National Provider Identifier
| NPI | 1003865395 |
|---|---|
| Provider Name | Amanda L Mayle |
| First Address | Fort Wayne, IN 46845-1701 |
| Second Address | Fort Wayne, IN 46845-1714 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2006 |
| Last Update Date | 27/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200802600 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.