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Individual

DR. JENNY ELIZABETH SEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY. D., HSPP

Contact information

Practice address
3804 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 373-0880
(260) 373-0881
Mailing address
3804 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 373-0880
(260) 373-0881

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042462A
IN

Other

Enumeration date
04/07/2009
Last updated
01/17/2012
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