Individual provider · NPI-1

Brooke Adelsperger

Psychologist, School · Fort Wayne, IN

NPI number1124840772
StatusActive
Last updated in NPPESOct 25, 2024

Details

NPI
1124840772
Entity type
Individual (NPI-1)
Name
Brooke Adelsperger
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2024
Certification date
Oct 25, 2024
Last updated
Oct 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School10292442INYes

Practice location

12723 Bethel Rd
Fort Wayne, IN 46818-8660

Phone 260-338-5395

Mailing address

12723 Bethel Rd
Fort Wayne, IN 46818-8660

Phone 260-338-5395

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