Individual
DR. STEPHANIE RENEE PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3103
Mailing address
9588 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20041931A
IN
103T00000X
Psychologist
20041931A
IN
103TC0700X
Clinical Psychologist
Primary
20041931A
IN
Other
Enumeration date
05/20/2006
Last updated
09/11/2025
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