Individual
DR. JENNIFER E. MARINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202
(317) 988-1830
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-1830
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20042246A
IN
103TC0700X
Clinical Psychologist
Primary
20042246A
IN
Other
Enumeration date
11/28/2007
Last updated
03/22/2022
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