Individual
DR. JENNIFER LYNN DANIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5035 N PARK AVE, INDIANAPOLIS, IN 46205-1063
(918) 691-1609
(999) 999-9999
Mailing address
5035 N PARK AVE, INDIANAPOLIS, IN 46205-1063
(918) 691-1609
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
652
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100837960B
—
OK
Enumeration date
09/01/2006
Last updated
06/22/2026
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