Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN ALVIN TIEDEMAN, SCHOOL PSYCHOLOGIST
ActiveSchool Psychologist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1528545357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2018 (7.7464594097081 yrs)
- Last Updated
- Oct 1, 2024
- License
-
10068586 (IN)
Practice Information
- Address
-
1200 BARR STFORT WAYNE, IN, 468023502Browse IN providers · Browse ZIP 46802
- Phone
- 2604671145
- Primary Specialty
-
School Psychologist
103TS0200X
- Additional Specialty
- School Psychologist
Other School Psychologist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN MEYER | — | 1174065825 |
| BENJAMIN A CUNNINGHAM | ED. S. | 1306301387 |
| NA-SHAUNDA RAYFORD | — | 1174387591 |
| EMILY STRALEY | EDS | 1508699075 |
| LISA REPAAL | — | 1750114955 |
| LORI HESSE | — | 1588499354 |
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.