Doctor Name: | MRS. SUSAN MARIE TIELKER-SHARPE |
NPI Number: | 1871537753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW LMFT ACSW |
License Number: | 35000408ALMFT |
Business Practice Address: | 4656 W Jefferson Blvd Suite 285 Ft Wayne, IN - 46804 |
Business Phone Number: | 2604229372 |
Business Fax Number: | 2604220843 |
Mailing Address: | 4656 W Jefferson Blvd, Suite 285 FT WAYNE |
State: | IN |
Postal Code: | 46804 |
Phone Number: | 2604229372 |
Fax Number: | 2604220843 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | 35000408ALMFT |
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. |