Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN OBENAUER, MS/CAS
ActiveSchool Psychologist · NEW PALESTINE, IN
Registration Details
- NPI Number
- 1801616081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2024 (1.5216307449796 yrs)
- Last Updated
- Oct 14, 2024
- License
-
15083667 (IN)
Practice Information
- Address
-
PO BOX 508NEW PALESTINE, IN, 461630508Browse IN providers · Browse ZIP 46163
- Phone
- 3178614463
- Primary Specialty
-
School Psychologist
103TS0200X
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.