Provider Demographics
NPI:1043754633
Name:DELANEY, MICHELE L
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:L
Last Name:DELANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 HIGHWATER RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-9207
Mailing Address - Country:US
Mailing Address - Phone:812-725-3621
Mailing Address - Fax:
Practice Address - Street 1:515 MAPLEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:IN
Practice Address - Zip Code:47122-9261
Practice Address - Country:US
Practice Address - Phone:502-767-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician