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Organization

UNIVERSITY OF EVANSVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA TEAGUE (EXEC VP OF FISCAL AFFAIRS)
(812) 488-2212
Entity
Organization

Contact information

Practice address
1931 LINCOLN AVE SUITE A, EVANSVILLE, IN 47722-1000
(812) 488-3350
Mailing address
1800 LINCOLN AVE, EVANSVILLE, IN 47722-1000

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
09/28/2023
Last updated
01/18/2024
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