Individual
DR. MARY JOEY O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
50 E 91ST ST, SUITE 208, INDIANAPOLIS, IN 46240-1549
(317) 408-9560
(866) 855-8502
Mailing address
50 E 91ST ST, SUITE 208, INDIANAPOLIS, IN 46240-1555
(317) 408-9560
(866) 855-8502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041754A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200415660A
—
IN
Enumeration date
11/09/2005
Last updated
04/24/2008
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