Provider Demographics
NPI:1841406949
Name:OSBORN, DONALD PATRICK (MS)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:PATRICK
Last Name:OSBORN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5903 CROSSCUT LN
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-6587
Mailing Address - Country:US
Mailing Address - Phone:317-774-2211
Mailing Address - Fax:
Practice Address - Street 1:5903 CROSSCUT LN
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-6587
Practice Address - Country:US
Practice Address - Phone:317-774-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3900034101YM0800X
IN35000055A106H00000X
IN1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical