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NPI 1144327883

NPI 1144327883 : NANCEE S. LOUGHEED PH. D. : FORT WAYNE, IN

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General NPI Number Information
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    NPI Number           |    1144327883
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    Entity Type          |    Individual 
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    Provider Name        |    NANCEE S. LOUGHEED PH. D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/17/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2417 GETZ RD 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46804-1631
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    Country              |    US
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    Telephone            |    260-672-1839
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11815 WEIGELA CT 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46814-4535
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    Country              |    US
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    Telephone            |    260-672-1839
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    Fax                  |    260-673-0403
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    39000076A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    34002188A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    35000989A
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    License Number State |    IN
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