Search › Indiana › 1041C0700X
Grant Gerard, LCSW, LAC
NPI 1639684285 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3909 New Vision Dr
Fort Wayne, IN 46845 - Phone
- (260) 373-8000
- Fax
- (260) 373-8034
- Organisation at this address
- Parkview Health System Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 93
Additional practice sites
- 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN
- 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-06
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