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DR. SUSAN ANN DWYER PHD CLINICAL PSYCHOL
NPI 1508865650
Psychologist - Health Service in Fort Wayne, IN

Active since July 20, 2005
203W WAYNE ST 317, FORT WAYNE, IN 46802(260) 413-0040(260) 344-2820 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Ann Dwyer Phd Clinical Psychol NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN ANN DWYER PHD CLINICAL PSYCHOL (NPI 1508865650) is an individual health service provider in Fort Wayne, Indiana, licensed in Indiana (20041233) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1508865650
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. SUSAN ANN DWYERCredential: PHD CLINICAL PSYCHOL
Location Address203W WAYNE ST 317Fort Wayne, IN 46802-3610
Mailing Address1702 Glen Elm DrFort Wayne, IN 46845-9672 · (260) 413-0040
Phone(260) 413-0040
Fax(260) 344-2820
Sole ProprietorNo
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 9, 2015
✔ NPI 1508865650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in IN · 20041233
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
203W WAYNE ST 317, Fort Wayne, IN 46802
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Other Identifiers 2

Medicare ID-Type Unspecified924870IN
Medicaid200142310IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Dwyer's NPI number?

The NPI number for Susan Dwyer is 1508865650. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Susan Dwyer located?

Susan Dwyer practices at 203W Wayne St 317, Fort Wayne, IN 46802. The listed phone number is (260) 413-0040.

What is Susan Dwyer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Susan Dwyer was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.