Wende Beedle
Individual provider Active NPI Developmental Therapist · Fort Wayne, IN
NPI 1821571209 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1821571209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1934 - Phone
- (260) 338-1241
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possibilities Northeast, LLC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1934
Mailing address
4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1934
Phone (260) 338-1241
Other providers in Fort Wayne, IN
- Tondalaya Bedwell
- Elise S. Beech
- Joann Beecher
- Megan Beeching
- Ryan Joesph Beeching
- Jacquelyn Ray Beemer
- Jeffrey Allen Beer
- Jennifer Jean Beer
- Mary M Beer
- Raya Jayne Beerbower
All providers in Fort Wayne, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.