Doctor Name: | MARGUERITE KAY WISE |
NPI Number: | 1417971342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 35000653A |
Business Practice Address: | 205 E Washington Center Rd Fort Wayne, IN - 468254404 |
Business Phone Number: | 2604822586 |
Business Fax Number: | 2604715949 |
Mailing Address: | 205 E Washington Center Rd, FORT WAYNE |
State: | IN |
Postal Code: | 468254404 |
Phone Number: | 2604822586 |
Fax Number: | 2604715949 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | 35000653A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |