Individual
DEDE SUE WOHLFARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3141 HIGHWAY 335, CRANDALL, IN 47114
(812) 366-4916
Mailing address
8037 UNRUH DR, GEORGETOWN, IN 47122-8759
(812) 951-1878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041671A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200446380
—
IN
Enumeration date
04/12/2007
Last updated
07/08/2007
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