Enneking, Brett Alicia

Enneking, Brett Alicia is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Enneking, Brett Alicia can be contacted via phone (317) 944-8167.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-8167
Fax: (317) 944-9760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20043128A Indiana

Profile Details

NPI number 1538654371
LBN Legal business name Enneking, Brett Alicia
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Feb 13th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538654371 NPPES
Indiana Other 300015970 MEDICAID

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