Whalio Doctors

NPI 1043038060

Michele Lynn Grimm

Practitioner School Psychologist Fort Wayne, IN

Practice location

Address
1200 S Clinton St, Fort Wayne, IN 46802-3504
Phone
(260) 467-1150
Fax
(260) 467-1188
Mailing address
1200 Barr St, Fort Wayne, IN 46802-3502

Registered specialties

School Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 1079963 (IN)

Registry record

NPI
1043038060
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Sep 2024
Record last updated
30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.