Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN GERARD ROSS, PSYD
Deactivated Sole ProprietorDR. STEPHEN GERARD ROSS, PSYD is a Clinical Psychologist healthcare provider located in FORT WAYNE, Indiana. NPI 1467458695 is deactivated in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT WAYNE, IN
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1467458695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (0.74246575342466 yrs)
- Last Updated
- Apr 14, 2008
- Deactivated
- Mar 20, 2006
- License
-
20040536A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4630 W JEFFERSON BLVD STE 5FORT WAYNE, IN, 468046800Browse IN providers · Browse ZIP 46804
- Phone
- 2604364100
- Fax
- 2604326282
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DIANA OSBORNE | PH.D. | 1346247830 |
| MR. JERE W LEIB | PH.D. | 1457350506 |
| RODNEY E TIMBROOK | PH.D. | 1932108982 |
| DR. SCOTT W SALON | PH.D. | 1942209846 |
| HEIDI L MUSGRAVE | PH.D | 1639161532 |
| MARY LOCKE SHEAR | PH.D. | 1144213711 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.