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Deidra Dollens

Developmental Therapist in Indianapolis, IN. Individual provider (NPI-1).

NPI number1669954574
StatusActive
Last updated in NPPESSep 6, 2018

Details

NPI
1669954574
Entity type
Individual (NPI-1)
Name
Deidra Dollens
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 6, 2018
Last updated
Sep 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

6111 Old Mill Dr
Indianapolis, IN 46221-4635

Phone 765-644-0500

Mailing address

6111 Old Mill Dr
Indianapolis, IN 46221-4635

Phone 765-644-0500

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