Individual provider · Type 1 NPI

Jennifer Krumwiede-McGowan

Developmental Therapist · Fort Wayne, IN

NPI number 1104792779 Active

Practice location

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042

Call (260) 497-0328 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1104792779

Jennifer Krumwiede-McGowan's National Provider Identifier is 1104792779, issued on Oct 13, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 13, 2025.