Healthcare Provider Details

I. General information

NPI: 1003738469
Provider Name (Legal Business Name): HOPE MARIE WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 N POST RD
INDIANAPOLIS IN
46219-5545
US

IV. Provider business mailing address

975 N POST RD
INDIANAPOLIS IN
46219-5545
US

V. Phone/Fax

Practice location:
  • Phone: 317-938-7761
  • Fax:
Mailing address:
  • Phone: 317-938-7761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number000064409
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: