IndividualActive
Odie Bracy, PHD
NPI 1285639476 · Clinical Neuropsychologist · Indianapolis, IN
Provider details
- NPI number
- 1285639476
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 20010368A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6555 Carrollton Ave
Indianapolis, IN 46220-1664
Phone: (317) 257-9672
Fax: (317) 257-9674
Approximate (ZIP-level) locationGet directions
Mailing address
6555 Carrollton Ave
Indianapolis, IN 46220-1664
Registry dates
- Enumerated
- 2005-06-15
- Last updated
- 2010-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.