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NPI Code Detail

MEDICARE: BARBARA ELAINE MCDANNELL MHP

MEDICARE: BARBARA ELAINE MCDANNELL MHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1033680939
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ELAINE MCDANNELL MHP
Provider Business Mailing Address
First Line : 7941 CASTLEWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1953
Country : US
Telephone Number : 317-726-2122
Fax Number : 866-391-0572
Provider Business Practice Location Address
First Line : 7941 CASTLEWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1953
Country : US
Telephone Number : 317-726-2122
Fax Number : 866-391-0572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/17/2018

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