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NPI Code Detail

MEDICARE: DR. DANIELLE QUINN PSYD, LMHC, CSAYC

MEDICARE: DR. DANIELLE QUINN PSYD, LMHC, CSAYC
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
1103TC0700XClinical Psychologist20042498AIN
2101YM0800XMental Health Counselor39001629AIN

General Provider Information

NPI Number : 1093967549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLE QUINN PSYD, LMHC, CSAYC
Provider Business Mailing Address
First Line : 131 N PENDLETON AVE STE A
Second Line :
City : PENDLETON
State : IN
Zip : 46064-1077
Country : US
Telephone Number : 765-778-3223
Fax Number :
Provider Business Practice Location Address
First Line : 6067 DECATUR BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-9606
Country : US
Telephone Number : 317-856-5201
Fax Number : 317-856-2333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2008
Last Update Date : 01/28/2026

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