Individual
HEATHER SUE BLEEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11143 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845-1728
(260) 266-5370
(260) 266-5379
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004254A
IN
103T00000X
Psychologist
Primary
20043888A
IN
Other
Enumeration date
11/29/2016
Last updated
04/02/2025
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