Individual
DR. ALICE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4814 HOMESTEAD RD, FORT WAYNE, IN 46814-5461
(260) 431-0528
Mailing address
8926 WOODSTREAM DR, FORT WAYNE, IN 46804-6568
(260) 579-5277
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1551866
IN
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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