| Doctor Name: | DEDE SUE WOHLFARTH |
| NPI Number: | 1316161037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 20041671A |
| Business Practice Address: | 3141 Highway 335 Crandall, IN - 47114 |
| Business Phone Number: | 8123664916 |
| Business Fax Number: | |
| Mailing Address: | 8037 Unruh Dr, GEORGETOWN |
| State: | IN |
| Postal Code: | 471228759 |
| Phone Number: | 8129511878 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20041671A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |