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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TERI MARISA KRAKOVICH, PH.D.

Active Sole Proprietor

DR. TERI MARISA KRAKOVICH, PH.D. is a Clinical Psychologist healthcare provider located in FORT WAYNE, Indiana. NPI 1649788613 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FORT WAYNE, IN

Registration Details

NPI Number
1649788613
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2018 (8.5624869405107 yrs)
Last Updated
Dec 26, 2019
License
20043109A (IN)
Sole Proprietor
Yes

Practice Information

Address
3512 STELLHORN RD
FORT WAYNE, IN, 468154631
Browse IN providers · Browse ZIP 46815
Phone
2604839081
Fax
2604839196
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in FORT WAYNE, IN

Name Credential NPI
DR. STEPHEN GERARD ROSS PSYD 1467458695
DIANA OSBORNE PH.D. 1346247830
MR. JERE W LEIB PH.D. 1457350506
RODNEY E TIMBROOK PH.D. 1932108982
DR. SCOTT W SALON PH.D. 1942209846
HEIDI L MUSGRAVE PH.D 1639161532
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.