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Center for Brief Therapy PC — NPI 1285839480, Ft. Wayne, IN | NPI Central

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NPI 1285839480

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Center for Brief Therapy PC

NPI 1285839480 · Prescribing (Medical) Psychologist · Ft. Wayne, IN

Provider details

NPI number: 1285839480
Entity type: Organization
Primary specialty: Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Sharon Freeman Clevenger, Owner(260) 969-5583
License: 20042050A (IN)

Specialties & taxonomies

Prescribing (Medical) PsychologistPrimary103TP0016XLicense 70000153A (IN)
Behavioral Health & Social Service Providers
Health Service Psychologist103TH0100XLicense 20042050A (IN)
Behavioral Health & Social Service Providers
Marriage & Family Therapist106H00000XLicense 35001565A (IN)
Behavioral Health & Social Service Providers

Practice location

423 Airport N. Office Park

Ft. Wayne, IN 46825-6704

Phone: (260) 969-5583

Fax: (260) 969-5584

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

423 Airport N. Office Park

Fort. Wayne, IN 46825-6704

Other names (DBA / former)

Doing business as: Indiana Center for Cognitive Behavior Therapy

Registry dates

Enumerated: 2007-06-18
Last updated: 2019-04-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.