IndividualActive
Donald Wilson, PHD
NPI 1154429348 · Counseling Psychologist · Fort Wayne, IN
Provider details
- NPI number
- 1154429348
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20041034A (IN)
Practice location
2121 Lake Ave
Va Nihcs
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1481
Mailing address
726 West Superior Street
Fort Wayne, IN 46802-1017
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.