Individual
ERIN A HENNEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD STE 4110, INDIANAPOLIS, IN 46202-4164
(317) 944-8162
(317) 948-0609
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
009058
GA
2084P0800X
Psychiatry Physician
Primary
01088507A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01088507A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040407
—
IN
Enumeration date
05/26/2017
Last updated
05/23/2025
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