Organization
MIDWEST SUPERVISION AND EVALUATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY DELONEY PHD (OWNER/PROVIDER)
(317) 476-7272
Entity
Organization
Contact information
Practice address
450 E 96TH ST STE 500, INDIANAPOLIS, IN 46240-3760
(317) 476-7272
(317) 762-7916
Mailing address
8103 E US HIGHWAY 36 STE 123, AVON, IN 46123-7964
(317) 476-7272
(317) 762-7916
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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