OrganizationActive
Fawver Waldo Clinic LLP
NPI 1174536346 · Adolescent and Children Mental Health Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1174536346
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jay Fawver, Managing Partner
Practice location
6920 Pointe Inverness Way
Suite 250
Fort Wayne, IN 46804-7926
Phone: (260) 436-4060
Fax: (260) 436-5713
Mailing address
6920 Pointe Inverness Way
Fort Wayne, IN 46804-7926
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.