Individual
MRS. MARY LISA BARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
10315E DAWSON'S CREEK BLVD, FORT WAYNE, IN 46825-1721
(260) 387-6340
Mailing address
10315E DAWSON'S CREEK BLVD, FORT WAYNE, IN 46825-1721
(260) 387-6340
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001710
IN
Other
Enumeration date
07/31/2008
Last updated
04/12/2018
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