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Shock Therapy Group Llc
Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana
NPI 1538869532

Shock Therapy Group Llc is a Psychiatric/Mental Health Nurse Practitioner based in Fort Wayne, IN and is specialized in Psychiatric/Mental Health. Shock Therapy Group Llc practices in Fort Wayne, IN. The NPI Number for Shock Therapy Group Llc is 1538869532 and holds a License No. (Indiana).

The current practice location address for Shock Therapy Group Llc is 1690 Broadway Ste 10, Fort Wayne, IN and can be reached out via phone at 260-200-4940.

Location: 1690 Broadway Ste 10, Fort Wayne, IN, 46814-9062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538869532
Provider Name
Shock Therapy Group Llc
Credential
Provider Entity Type
Organization
Address
1690 Broadway Ste 10, Fort Wayne, IN, 46814-9062
Phone Number
260-200-4940
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1690 Broadway Ste 10
City
Fort Wayne
State
Indiana
Zip
46802-4377
Phone Number
260-200-4940
Fax Number
person
Provider Business Mailing Address Details
Address
1690 Broadway Ste 10
City
Fort Wayne
State
Indiana
Zip
46802-4377
Phone Number
260-200-4940
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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