Brooke Adelsperger
Individual provider Active NPI School Psychologist · Fort Wayne, IN
NPI 1124840772 · NPPES record last updated Oct 25, 2024
Key facts
- NPI
- 1124840772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 10292442 (IN)
- Practice address
- 12723 Bethel Rd
Fort Wayne, IN 46818-8660 - Phone
- (260) 338-5395
- NPI assigned
- Oct 25, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10292442 | IN | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10292442 | IN | Yes |
Addresses
Primary practice location
12723 Bethel Rd
Fort Wayne, IN 46818-8660
Mailing address
12723 Bethel Rd
Fort Wayne, IN 46818-8660
Phone (260) 338-5395
Other providers in Fort Wayne, IN
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- Dorothea Addo
- John Addo
- Ryan Ades
- Oluremi C Adesida
- Farrukh M Adhami
- Yazan Adhami
- Kripa Adhikari
All providers in Fort Wayne, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.