Individual
DR. TAMMIE R. DRAKE DONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
(317) 745-9565
Mailing address
5101 E US HIGHWAY 36 STE 100, AVON, IN 46123-6646
(888) 714-1927
(317) 745-9565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041559A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210870007
MEDICARE PTAN
IN
Enumeration date
11/13/2007
Last updated
05/04/2021
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