Individual
ROBERT JORDAN DENYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
217 W WAYNE ST, FORT WAYNE, IN 46802-3605
(260) 426-3409
(260) 426-0302
Mailing address
217 W WAYNE ST, FORT WAYNE, IN 46802-3605
(260) 426-3409
(260) 426-0302
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002372A
IN
237600000X
Audiologist-Hearing Aid Fitter
23002372A
IN
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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