Individual
JEFF WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1216 S. INDIANA AVE, DOOR F, GOSHEN, IN 46526
(574) 533-3151
(574) 534-9159
Mailing address
1216 S. INDIANA AVE, DOOR F, GOSHEN, IN 46526
(574) 533-3151
(574) 534-9159
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1231375
IN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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