Search › Indiana › 1041C0700X
Bethany Kellogg, MSW, LCSW
NPI 1295245835 · on the registry since 2017
Practice
- Address
- 2100 Goshen Rd
Fort Wayne, IN 46808 - Phone
- (574) 936-9646
- Fax
- (574) 936-9646
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 102
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2021-02-25
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