IndividualActive
Ashley Radtke, LMFT
NPI 1629340104 · Marriage & Family Therapist · Fort Wayne, IN
Provider details
- NPI number
- 1629340104
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 35001825A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
4630 W Jefferson Blvd Ste 4b
Fort Wayne, IN 46804-6856
Phone: (260) 999-6956
Fax: (260) 999-6966
Approximate (ZIP-level) locationGet directions
Mailing address
4630 W Jefferson Blvd
Fort Wayne, IN 46804-6856
Registry dates
- Enumerated
- 2012-01-31
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.