Mihlbauer, Therese C

Mihlbauer, Therese C is an individual health care provider with primary practice located at 2712 S Calhoun St , Fort Wayne IN 46807-1402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Mihlbauer, Therese C can be contacted via phone (260) 744-4326.

Contact Information

Primary practice address
2712 S Calhoun St Fort Wayne IN 46807-1402
Phone: (260) 744-4326
Fax: (260) 744-0188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010502A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20010502A Indiana

Profile Details

NPI number 1609868504
LBN Legal business name Mihlbauer, Therese C
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 13th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609868504 NPPES
Indiana MEDICAID 200730270
Indiana MEDICAID 100081280

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