Search › Indiana › 103TC0700X
Charles Balke, PSY.D
NPI 1790113009 · on the registry since 2013 · sole proprietor
Practice
- Address
- 7311a W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 471-8033
- Fax
- (260) 471-8107
Additional practice sites
- 208 S Maple St, Pierceton, IN
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana