Individual
MS. DELYN KAZDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 727-4181
Mailing address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 727-4181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39003257A
LICENSE NUMBER
IN
Enumeration date
12/01/2015
Last updated
07/12/2019
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