Individual
MRS. ANGELA D LYKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
4221 N BROADWAY AVE, MUNCIE, IN 47303-1015
(765) 282-1750
(765) 282-9166
Mailing address
4221 N BROADWAY AVE, MUNCIE, IN 47303-1015
(765) 282-1750
(765) 282-9166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040977
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181482
ANTHEM BC/BS
IN
01
—
084197000
MAGELLAN HEALTH
IN
05
—
200081780
—
IN
05
—
200415280
—
IN
Enumeration date
06/14/2006
Last updated
09/17/2015
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