Rebecca Leann Bottom, MD
Psychiatry & Neurology, Psychiatry in Indianapolis, IN. Individual provider (NPI-1).
NPI number1902242589
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1902242589
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Leann Bottom
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2013
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 01078932A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 192262 | NC |
Practice location
355 W. 16th StreetDept. Of Psychiatry
Indianapolis, IN 46202-2207
Phone 317-963-7288 · Fax 317-963-7313
Mailing address
250 N Shadeland AveSuite 200 - Provider Enrollment
Indianapolis, IN 46219-4959
Phone 317-962-4942 · Fax 317-962-4343
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