Weakley, Mary Melinda

Weakley, Mary Melinda is an individual health care provider with primary practice located at 350 S Landmark Ave , Bloomington IN 47403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Weakley, Mary Melinda can be contacted via phone (812) 332-9874.

Contact Information

Primary practice address
350 S Landmark Ave Bloomington IN 47403
Phone: (812) 332-9874
Fax: (812) 335-7604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01041728A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01041728A Indiana

Profile Details

NPI number 1801868989
LBN Legal business name Weakley, Mary Melinda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 27th, 2024 - 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 1801868989 NPPES
Indiana MEDICAID 200110220A

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