Individual
CATHRINE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4306 E STATE BLVD, FORT WAYNE, IN 46815-6915
(260) 460-3203
Mailing address
4306 E STATE BLVD, FORT WAYNE, IN 46815-6915
(260) 460-3203
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
20043702A
IN
Other
Enumeration date
07/12/2023
Last updated
08/26/2025
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