Individual
MS. ELIZABETH JEANNE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7002 GRAHAM RD, INDIANAPOLIS, IN 46220-4057
(317) 849-4342
(317) 558-1348
Mailing address
7002 GRAHAM RD, INDIANAPOLIS, IN 46220-4057
(317) 849-4342
(317) 558-1348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002548
IN
106H00000X
Marriage & Family Therapist
35000196
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350069
BLUE CROSS BLUE SHIELD
IN
01
—
11422736
CAQH
IN
Enumeration date
12/27/2006
Last updated
09/11/2025
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