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General NPI Number Information
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NPI Number | 1821166315
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Entity Type | Individual
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Provider Name | BRENNA CATHLEEN MCDONALD PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 545 BARNHILL DR EH 125
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5112
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Country | US
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Telephone | 317-274-8800
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Fax | 317-274-2384
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Provider Business Mailing Address
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Address Line | 545 BARNHILL DR EH 125
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5112
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Country | US
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Telephone | 317-274-8800
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Fax | 317-274-2384
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 985
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20042155A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 20042155A
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License Number State | IN
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