Individual provider · Type 1 NPI

Charles Balke, PSY.D.

Clinical Psychologist · Fort Wayne, IN

NPI number 1790113009 Active

Practice location

7311A W Jefferson Blvd
Fort Wayne, IN 46804-6237

Fax (260) 471-8107

Other practice locations

  • 208 S Maple St, Pierceton, IN 46562-9086 · (574) 594-3815

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20042479A (IN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1790113009

Charles Balke, PSY.D.'s National Provider Identifier is 1790113009, issued on Oct 23, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2022.