Klinton R Krouse, HSPP is a
Psychologist - Clinical based in Fort Wayne, Indiana. Klinton R Krouse is licensed to practice in Indiana (license number 20042736A) and his current practice location is
2100 Goshen Rd, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 471-3500.
NPI number for Klinton R Krouse is 1558698357 and his current mailing address is Po Box 497, 2621 E. Jefferson St., Warsaw, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558698357.
Healthcare Provider's Profile
| Full Name | Klinton R Krouse |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 2100 Goshen Rd, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558698357
- Provider Enumeration Date: 11/16/2009
- Last Update Date: 02/14/2014
Medical Identifiers
Medical identifiers for Klinton R Krouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558698357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 39001609A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20042736A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Klinton R Krouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Klinton R Krouse, HSPP Po Box 497, 2621 E. Jefferson St., Warsaw, IN 46581-0497 Ph: (574) 267-7169 | Klinton R Krouse, HSPP 2100 Goshen Rd, Fort Wayne, IN 46808-1493 Ph: (260) 471-3500 |
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