Individual
JAMES FENSTERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009285
IL
103TC0700X
Clinical Psychologist
20042942A
IN
103TC0700X
Clinical Psychologist
Primary
6301018918
MI
Other
Enumeration date
05/10/2016
Last updated
05/01/2025
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