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Organization

BALL STATE UNIVERSITY

Active
Other names
Interprofessional Community Clinics, Ball State Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
BLAIR SCOTT MATTERN (ASSOCIATE DEAN FOR CLINICAL AFFAIRS)
(765) 285-5354
Entity
Organization

Contact information

Practice address
HB 155, MUNCIE, IN 47306-0001
(765) 285-4422
(765) 285-5623
Mailing address
2000 W UNIVERSITY AVE, MUNCIE, IN 47306-1022
(765) 285-5354
(765) 285-5623

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
231H00000X
Audiologist
235Z00000X
Speech-Language Pathologist
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
09/25/2014
Last updated
07/24/2026
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