Individual
SARAH E BRANDENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
11115 PARKVIEW PLAZA DR, ATTN: SARAH KING, FORT WAYNE, IN 46845-1701
(260) 266-8271
(260) 266-8271
Mailing address
3926 NEW VISION DR BLDG H, FORT WAYNE, IN 46845-1712
(260) 373-9728
(260) 458-5636
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000081A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123869
NATIONAL SOCIETY OF GENETIC COUNSELORS
IN
01
—
74000081A
PROFESSIONAL LICENSING AGENCY OF INDIANA
IN
Enumeration date
04/13/2015
Last updated
01/04/2017
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