Holly Ann Brinker
Individual provider Active NPI Developmental Therapist · Indianapolis, IN
NPI 1831709112 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1831709112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1302 Wallace Ave
Indianapolis, IN 46201-1844 - Phone
- (586) 879-3028
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
1302 Wallace Ave
Indianapolis, IN 46201-1844
Mailing address
1302 Wallace Ave
Indianapolis, IN 46201-1844
Phone (586) 879-3028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | IN | FIRST STEPS SERVICES |
Other providers in Indianapolis, IN
- Roopsi Bring
- Josef Ma Karlos Santos Bringas
- Bringing a Brighter Day LLC
- Chad K Brink
- Sophia Rose Brink
- Makenzie Brinker
- Brandin Leigh Brinkerhoff
- Abigail Brinkers
- Courtney Elisa Brinkers
- Breanna Brinkley
All providers in Indianapolis, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.