DR. STEPHANIE RENEE PEABODY PSYD NPI 1699729863

NPI Information

NPI: 1699729863
Provider Name: DR. STEPHANIE RENEE PEABODY, PSYD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-3103
Get Directions

DR. Stephanie Renee Peabody, PSYD is a clinical neuropsychologist in Indianapolis, IN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Stephanie Renee Peabody, PSYD NPI is 1699729863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260-902
Phone: (317) 338-3103

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		20041931A	INDIANA	Yes
2	103T00000X	Psychologist		20041931A	INDIANA	X
3	103TC0700X	Psychologist	Clinical	20041931A	INDIANA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	940550C2	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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